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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 & OPERATION)
(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
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0008X
Hepatology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327
CMS
CA
01
—
364823301
US DEPT OF LABOR
—
01
—
364823302
US DEPT OF LABOR
—
01
—
364823310
US DEPT OF LABOR
CA
01
—
71
RYAN WHITE
CA
01
—
CGP016905
GHPP
CA
01
—
CQ4024
RAILROAD MEDICARE
CA
05
—
GR0013562
—
CA
01
—
ZZZP3708Z
BLUE SHIELD
CA
05
—
ZZZP3708Z
—
CA
Enumeration date
09/01/2006
Last updated
04/25/2024
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