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General NPI Number Information
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NPI Number | 1649137563
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Entity Type | Organization
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Legal Business Name | REGENTS UNIV OF CALIF LOS ANGELES
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 7325 MEDICAL CENTER DR STE 102
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City | WEST HILLS
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State | CA
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Zip | 91307
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Country | US
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Telephone | 818-676-4809
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Fax |
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Provider Business Mailing Address
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Address Line | 10920 WILSHIRE BLVD STE 1700
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City | LOS ANGELES
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State | CA
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Zip | 90024-6542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TAMMY LEHR WALLACE
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Credential |
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Telephone | 310-794-8627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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