Organization
REGENTS OF THE UNIVERSITY OF
Active
Parent organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
UCLA Outreach Clinical Lab-Panorama City
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
MR. TAMMY WALLACE (CHIEF FINANCIAL OFFICER)
(310) 794-8627
Entity
Organization
Contact information
Practice address
14250 ARMINTA ST, PANORAMA CITY, CA 91402-6871
(818) 989-6610
(818) 989-6775
Mailing address
10920 WILSHIRE BLVD, STE 1600, LOS ANGELES, CA 90024-6502
(310) 794-8299
(310) 794-6790
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0919331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0919331
CLIA
CA
Enumeration date
01/30/2009
Last updated
03/04/2025
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