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Organization

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
Santa Monica UCLAMC and Orthopedic Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL ALVIN STATON (CFO)
(310) 267-9307
Entity
Organization

Contact information

Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 267-9308
(310) 267-3516
Mailing address
10920 WILSHIRE BLVD, LOS ANGELES, CA 90024-6502
(310) 794-6129
(310) 794-8399

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000146
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480208001
DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTIC AND SUPPLIES
CA
Enumeration date
12/03/2008
Last updated
09/25/2009
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