Regents of University of California Simms Mann UCLA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REGENTS OF UNIVERSITY OF CALIFORNIA SIMMS MANN UCLA

Doing business as

Reflections Boutique

Practice address

200 UCLA Medical PLZ Ste 163
Los Angeles, CA 90095-6934

Phone

(310) 794-9090

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anne Coscarelli, PHD

Title

Director

Phone

(310) 794-9090

Specialties & licenses 1

Addresses

Other names 1

• Reflections Boutique Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Catherine Anderson, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1871286211
  NPD (past)
• Valentina Ogaryan

  • Psychologist
  • Los Angeles, CA
  • NPI 1609289990
  NPD (past)
• Jenny Tran, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1245902857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1083788038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 163",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956934",
            "telephone_number": "310-794-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 163",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956934",
            "telephone_number": "310-794-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF UNIVERSITY OF CALIFORNIA SIMMS MANN UCLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "COSCARELLI",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-794-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Regents of University of California Los Angeles (UCLA Orofacial Pain Clinic)
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• Regents Univ of Calif Los Angeles
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA - Medical Plaza Level I Pharmacy)
• Regents Univ of Calif Los Angeles (UCLA School of Nursing Health Center)
• Regents Univ of Calif Los Angeles (Ronald Reagan UCLA Outpatient Pharmacy)

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.