Organization
REGENTS OF THE UNIV OF CALIFORNIA
Active
Other names
Santa Monica UCLA Medical Center & Orthopaedic Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LEHR WALLACE (CFO)
(310) 794-8627
Entity
Organization
Contact information
Practice address
1131 WILSHIRE BLVD., SUITE 202, LOS ANGELES, CA 90404
(424) 259-7705
(310) 260-0105
Mailing address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 297-9308
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427055839
—
CA
Enumeration date
09/20/2021
Last updated
09/22/2021
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