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Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UC San Diego Health - One Medical
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOORE MD (CEO, UC SAN DIEGO CLINICAL PRACTICE)
(619) 543-8300
Entity
Organization
Contact information
Practice address
7710 EL CAMINO REAL STE F, CARLSBAD, CA 92009-8506
(619) 488-6900
Mailing address
9400 GILMAN DR MAIL CODE 7970 PROVIDER ENROLLMENT, LA JOLLA, CA 92093-0021
(858) 249-6758
(619) 543-3183
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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