Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA Pharm & Nm Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WANG (CAO)
(310) 267-1188
Entity
Organization
Contact information
Practice address
200 MEDICAL PLZ, SUITE B114, LOS ANGELES, CA 90095-8344
(310) 794-9513
(310) 267-2538
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0059610
—
CA
Enumeration date
11/15/2006
Last updated
01/08/2021
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