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Organization
REGENTS OF THE UNIVERSITY OF
Active
Organization
REGENTS OF THE UNIVERSITY OF
Active
Other names
University Anesthesia Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA COPEN (PROVIDER ENROLLMENT MANAGER)
(714) 456-6227
Entity
Organization
Contact information
Practice address
101 THE CITY DR SOUTH, ORANGE, CA 92868
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 54330, LOS ANGELES, CA 90054-0330
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT0508
RAILROAD GROUP
CA
01
—
GR0013290
MEDI-CAL GROUP
CA
01
—
ZZZP3013Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
05/22/2025
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