# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSD Radiation Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548419526
- **Authorized official:** MR. JONATHAN CASEY SANDACK (CHIEF BUS DEV & ADMIN OFC)
- **Authorized official phone:** (858) 246-6050

## Contact information

- **Practice address:** 1200 GARDEN VIEW RD, SUITE 210, ENCINITAS, CA 92024-2477
- **Practice address phone:** (858) 246-0500
- **Practice address fax:** (858) 246-0501
- **Mailing address:** PO BOX 30590, LOS ANGELES, CA 90030-0590
- **Mailing address phone:** (858) 246-0500
- **Mailing address fax:** (858) 246-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 08/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548419526 | — | CA |