# THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UC San Diego Health - One Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619431244
- **Authorized official:** THOMAS MOORE MD (CEO, UC SAN DIEGO CLINICAL PRACTICE)
- **Authorized official phone:** (619) 543-8300

## Contact information

- **Practice address:** 7710 EL CAMINO REAL STE F, CARLSBAD, CA 92009-8506
- **Practice address phone:** (619) 488-6900
- **Mailing address:** 9400 GILMAN DR MAIL CODE 7970 PROVIDER ENROLLMENT, LA JOLLA, CA 92093-0021
- **Mailing address phone:** (858) 249-6758
- **Mailing address fax:** (619) 543-3183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2019
- **Last updated:** 01/28/2019