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REGENTS OF THE UNIV OF CALIFORNIA NPI 1992475032


NPI Information

NPI: 1992475032
Provider Name: REGENTS OF THE UNIV OF CALIFORNIA

Doing Business As: SANTA MONICA UCLA MEDICAL CENTER & ORTHOPAEDIC HOSPITAL

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 05D2184506

Address:
1131 WILSHIRE BLVD.
SUITE 202
LOS ANGELES, CA
ZIP 90404
Phone: (424) 259-7705
Get Directions

REGENTS OF THE UNIV OF CALIFORNIA is a rehabilitation clinic center in Los Angeles, CA. REGENTS OF THE UNIV OF CALIFORNIA NPI is 1992475032. The provider is registered as an organization entity type.
The provider Is Doing Business As Santa Monica Ucla Medical Center & Orthopaedic Hospital.

The provider's business location address is:

1131 WILSHIRE BLVD.
SUITE 202
LOS ANGELES, CA
ZIP 90404
Phone: (424) 259-7705
Fax: (310) 260-0105

The provider's authorized official is Tammy Lehr Wallace .
The authorized official title is Cfo and has the following contact phone number (310) 794-8627.

The CLIA number assigned to this NPI record is 05D2184506 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/22/2021.


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
1261QR0400XClinic/CenterRehabilitationYes

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
11427055839MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.