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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
GIFFORD CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
MS. JAMILA L LARKINS (OPERATION MANAGER)
(619) 543-6140
Entity
Organization
Contact information
Practice address
140 ARBOR DR, MC0851, SAN DIEGO, CA 92103-2007
(619) 543-6140
(619) 543-7013
Mailing address
140 ARBOR DR, MC0851, SAN DIEGO, CA 92103-2007
(619) 543-6140
(619) 543-7013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
11/20/2012
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