# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Faculty of Irvine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356399703
- **Authorized official:** DR. UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
- **Authorized official phone:** (714) 456-2986

## Contact information

- **Practice address:** 101 THE CITY DR S, ORANGE, CA 92868
- **Practice address phone:** (714) 456-3905
- **Practice address fax:** (714) 456-2338
- **Mailing address:** PO BOX 31001-2481, PASADENA, CA 91110-2481

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CS7804 | RAILROAD MEDICARE GROUP | CA |
| 01 | — | GR0017212 | MEDI-CAL GROUP \# | CA |
| 01 | — | ZZZP3024Z | BLUE SHIELD GROUP \# | CA |