| NPI | 1104644988 |
|---|---|
| Doing Business As | UCLA INTEGRATED PROVIDER NETWORK |
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Financial Officer 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |