NPIMap

Organization Active NPI

UCLA Med Ctr Pharmaceutical Technology

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1104004308
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHE45579 Issued in CA
Legal business name
UCLA MED CTR PHARMACEUTICAL TECHNOLOGY
Practice address
1010 Veteran Ave
Los Angeles, CA 90095-0001
Phone
(310) 825-5057
NPI assigned
Feb 11, 2008
Organization subpart
Yes
Parent organization
RONALD REAGAN UCLA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Diane Jean Zalba, PHARM.D.
Title
Director, Pharmaceutical Services
Phone
(310) 825-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHE45579 CA Primary

Addresses

Primary practice location

1010 Veteran Ave
Los Angeles, CA 90095-0001

Mailing address

1010 Veteran Ave
Los Angeles, CA 90095-0001
Phone (310) 825-5057

Other identifiers 1

IdentifierTypeStateIssuer
PHE45579OtherCASTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of Ca56 organizations share this tax ID, including this one
Part of
Regents of the Univ of Ca

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104004308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 VETERAN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VETERAN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA MED CTR PHARMACEUTICAL TECHNOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALD REAGAN UCLA MEDICAL CENTER",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ZALBA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACEUTICAL SERVICES",
        "authorized_official_telephone_number": "310-825-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE45579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PHE45579",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.