# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346208162
- **Authorized official:** DR. HARRY SKINNER MD (DEPT CHAIR)
- **Authorized official phone:** (714) 456-3905

## Contact information

- **Practice address:** 26730 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6364
- **Practice address phone:** (714) 456-3905
- **Practice address fax:** (714) 456-2338
- **Mailing address:** PO BOX 513228, LOS ANGELES, CA 90051-3228
- **Mailing address phone:** (714) 456-3905
- **Mailing address fax:** (714) 456-2338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DE1350 | RAILROAD MEDICARE GROUP | CA |
| 01 | — | ZZZ62154Z | BLUE SHIELD GROUP \# | CA |