The Regents Of The University Of California
Clinic/Center, Ambulatory Surgical in North Hollywood, CA. Organization (NPI-2).
NPI number1366041469
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1366041469
- Entity type
- Organization (NPI-2)
- Legal business name
- The Regents Of The University Of California
- Organization subpart
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
4343 Lankershim Blvd Ste 210North Hollywood, CA 91602-2705
Phone 818-843-9038
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-5256
Authorized official
Brooke Souhrada
Director
6612552420
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