# UNIVERSITY OF CALIFORNIA IRVINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF CALIFORNIA IRVI
- **Other names:** UCI Health Lakewood
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184655581
- **Legal business name:** UNIVERSITY OF CALIFORNIA IRVI
- **Authorized official:** RANDOLPH PERSEVERANCE SIWABESSY (VICE PRESIDENT AND CHIEF FINANCIAL)
- **Authorized official phone:** (714) 456-5180

## Contact information

- **Practice address:** 3700 SOUTH ST, LAKEWOOD, CA 90712-1419
- **Practice address phone:** (562) 531-2550
- **Mailing address:** 1500 S DOUGLASS RD, SUITE 200, RT 183, ANAHEIM, CA 92806-6911
- **Mailing address phone:** (714) 456-6245
- **Mailing address fax:** (714) 456-6715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 930000046 | CA | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 07/18/2024