| The Regents Of The University Of California | |
|
1801 Wilshire Blvd Ste 100 Santa Monica CA 90403-5609 | |
| (310) 319-5098 | |
| Not Available |
| Full Name | The Regents Of The University Of California |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1801 Wilshire Blvd Ste 100, Santa Monica, California |
| Authorized Official Name and Position | Katherine Hale (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3103015311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regents Of The University Of California 5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 Ph: () - | The Regents Of The University Of California 1801 Wilshire Blvd Ste 100 Santa Monica CA 90403-5609 Ph: (310) 319-5098 |
| NPI Number | 1114557295 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114557295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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