# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSD Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306064126
- **Authorized official:** MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION)
- **Authorized official phone:** (858) 249-6752

## Contact information

- **Practice address:** 200 W ARBOR DR, SAN DIEGO, CA 92103-9000
- **Practice address phone:** (800) 926-8273
- **Practice address fax:** (888) 539-8781
- **Mailing address:** FILE 57326, LOS ANGELES, CA 90074-2410
- **Mailing address phone:** (800) 926-8273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 333600000X | Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 04/25/2024
