# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSD Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487772380
- **Authorized official:** MR. MIGUEL VIGO IV (DIRECTOR REVENUE CYCLE & OPERATIONS)
- **Authorized official phone:** (858) 657-8691

## 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:** FILE 57326, LOS ANGELES, CA 90074-2410
- **Mailing address phone:** (800) 926-8273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | NULL | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 04/16/2025