Organization
REGENTS OF THE UNIV OF CALIFORNIA
Active
Other names
Ronald Reagan UCLA - Medical Plaza Level I Pharmacy, Santa Monica UCLA Medical Center & Orthopaedic Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LEHR WALLACE (CHIEF FINANCIAL OFFICER)
(310) 267-9307
Entity
Organization
Contact information
Practice address
1260 15TH ST, SUITE 900, SANTA MONICA, CA 90404-1135
(310) 319-4646
Mailing address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-8365
(424) 259-6626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
930000146
CA
Other
Enumeration date
05/01/2012
Last updated
10/16/2024
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