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THE REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI 1447218086


NPI Information

NPI: 1447218086
Provider Name: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Doing Business As: GONDA (GOLDSCHMIED) VASCULAR CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 05D1102342

Address:
200 MEDICAL PLZ
SUITE #530
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-6294
Get Directions

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA is a vascular surgery surgery in Los Angeles, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. THE REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI is 1447218086. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gonda (goldschmied) Vascular Center.

The provider's business location address is:

200 MEDICAL PLZ
SUITE #530
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 206-6294

The provider's authorized official is Katherine Hale .
The authorized official title is Director Of Finance and has the following contact phone number (310) 301-5311.

The CLIA number assigned to this NPI record is 05D1102342 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 11/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0076140MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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