# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSD DEPARTMENT OF PAIN MANAGEMENT, UCSD Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376646869
- **Authorized official:** MR. MICHAEL DENNIS PRICE (PROVIDER ENROLLMENT)
- **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:** PO BOX 232410, SAN DIEGO, CA 92193-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | NULL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 04/01/2024