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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION)
(858) 249-6752
Entity
Organization
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327
CMS GRP NO.
CA
01
—
364823300
US DEPT OF LABOR
CA
01
—
364823301
US DEPARTEMENT OF LABOR
CA
01
—
364823302
US DEPT OF LABOR
CA
01
—
364823303
US DEPT OF LABOR
CA
01
—
364823304
US DEPT OF LABOR
CA
01
—
364823305
US DEPT OF LABOR
CA
01
—
364823306
US DEPT OF LABOR
CA
01
—
364823307
US DEPT OF LABOR GRP NO
CA
01
—
364823308
US DEPT OF LABOR
CA
01
—
364823310
US DEPT OF LABOR GRP
CA
01
—
CGP016905
GHPP GRP NO
CA
01
—
CQ4024
RAILROAD MEDICARE
CA
01
—
GR0013560
CALOPTIMA
CA
05
—
GR0013560
—
CA
01
—
ZZZ25751Z
BLUE SHIELD GROUP NO
CA
Enumeration date
09/07/2006
Last updated
04/01/2024
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