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Organization
REGENTS OF THE UNIVERSITY OF
Active
Organization
REGENTS OF THE UNIVERSITY OF
Active
Other names
Emergency Medicine Faculty Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-2986
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 31001-2471, PASADENA, CA 91110-2471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI4896
RAILROAD MEDICARE GROUP
CA
01
—
GR0078230
MEDI-CAL GROUP #
CA
01
—
ZZZ55563Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
08/17/2018
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