| NPI | 1215813191 |
|---|---|
| Doing Business As | UCLA INTEGRATED PROVIDER NETWORK |
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Financial Officer 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| 1223X2210X Dentist, Orofacial Pain | |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |