# UCI PHYSICAL MEDICINE & REHABILITATION

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

## Provider details

- **NPI number:** 1417907379
- **Authorized official:** UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
- **Authorized official phone:** (714) 456-8026

## Contact information

- **Practice address:** 101 THE CITY DR S, BLDG 10 ROOM 211, ORANGE, CA 92868
- **Practice address phone:** (714) 456-8702
- **Practice address fax:** (714) 456-6248
- **Mailing address:** PO BOX 31001-2482, PASADENA, CA 91110-2482
- **Mailing address phone:** (714) 456-8026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 12/06/2023