Regents of the University of California

Organization Active NPI Durable Medical Equipment & Medical Supplies · Los Angeles, CA

NPI 1609592161 · NPPES record last updated Oct 17, 2022

Key facts

NPI
1609592161
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone
(310) 319-1234
NPI assigned
Oct 17, 2022
Organization subpart
No

Authorized official

Name
Katherine Hale
Title
Director of Finance
Phone
(310) 301-5311

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 71

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

View all 71

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221215001305 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery
DME Supplier - Sports Medicine
2062312291 Practice locations: Los Angeles, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

403 W Adams Blvd
Los Angeles, CA 90007-2664

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other names

  • UCLA Orthopedic Surgery Med Group Doing business as

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Durable Medical Equipment & Medical Supplies in California

Sources for this page

Verify at the official NPI Registry.