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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 & OPERATIONS)
(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
FILE 57326, LOS ANGELES, CA 90074-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364823300
US DEPT OF LABOR
—
01
—
364823301
US DEPT OF LABOR
—
01
—
364823302
US DEPT OF LABOR
—
01
—
364823303
US DEPT OF LABOR
—
01
—
364823304
US DEPT OF LABOR
—
01
—
364823305
US DEPT OF LABOR
—
01
—
364823306
US DEPT OF LABOR
—
01
—
364823307
US DEPT OF LABOR
—
01
—
364823309
US DEPT OF LABOR
—
01
—
364823310
US DEPT OF LABOR
—
01
—
CGP016905
GHPP
CA
01
—
CMS
2327
CA
01
—
CQ4024
RAILROAD MEDICARE
—
01
—
GR0022090
CALOPTIMA
CA
05
—
GR0022090
—
CA
05
—
GR0051970
—
CA
01
—
ZZZP3726Z
BLUE SHIELD
CA
Enumeration date
09/05/2006
Last updated
04/25/2024
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