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Organization
UC REGENTS
Active
Organization
UC REGENTS
Active
Other names
UCI Department of Medicine
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 31001-2482, PASADENA, CA 91110-2482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CU0494
RAILROAD MEDICARE GROUP
CA
01
—
ZZZ62012Z
BLUE SHIELD GROUP #
CA
01
—
ZZZP3010Z
MEDI-CAL GROUP #
CA
Enumeration date
05/04/2006
Last updated
08/17/2018
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