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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY SKINNER MD (DEPT CHAIR)
(714) 456-3905
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6364
(714) 456-3905
(714) 456-2338
Mailing address
PO BOX 513228, LOS ANGELES, CA 90051-3228
(714) 456-3905
(714) 456-2338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE1350
RAILROAD MEDICARE GROUP
CA
01
—
ZZZ62154Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/02/2006
Last updated
08/22/2020
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