MEDICARE: REGENTS UNIV OF CALIF LOS ANGELES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

General Provider Information

NPI Number	:	1982561254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENTS UNIV OF CALIF LOS ANGELES

Provider Business Mailing Address
First Line	:	920 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024
Country	:	US
Telephone Number	:	310-825-5721
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024
Country	:	US
Telephone Number	:	310-825-5721
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	TAMMY LEHR WALLACE
Credential	:
Telephone Number	:	310-794-8627

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

Similar Medicare Providers

1821556549 — MS. MARIA ELOISA LOPEZ
Practice Location Address:

10990 WILSHIRE BLVD STE 250
LOS ANGELES, CA
90024-3932

Practice Phone: 415-360-3833
Practice Fax:

1619834637 — LESLIE LEE CERTIFIED MASSAGE TH
Practice Location Address:

1632 WESTWOOD BLVD
LOS ANGELES, CA
90024-5604

Practice Phone: 213-585-4126
Practice Fax:

1932106358 — THE CENTER FOR AMBULATORY SURGICAL TREATMENT, LP
Practice Location Address:

1090 GLENDON AVE
LOS ANGELES, CA
90024-2908

Practice Phone: 310-209-6500
Practice Fax: 310-209-6225

1326049867 — FARDIN DADVAND
Practice Location Address:

1646 WESTWOOD BLVD
LOS ANGELES, CA
90024-5604

Practice Phone: 310-234-9991
Practice Fax: 310-234-1299

1851392062 — DR. RICK CHIEN CHI TSAY D.M.D, M.D.
Practice Location Address:

10811 ASHTON AVE , #308
LOS ANGELES, CA
90024-4878

Practice Phone: 310-446-1368
Practice Fax:

1386636074 — VITO K. ROCCO M.D.
Practice Location Address:

200 MED PLAZA , 365,420,120
LOS ANGELES, CA
90024

Practice Phone: 805-642-6252
Practice Fax:

Directions to “REGENTS UNIV OF CALIF LOS ANGELES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.