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Organization

REGENTS OF THE UNVIERSITY OF CALIFORNIA

Active
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Organization

REGENTS OF THE UNVIERSITY OF CALIFORNIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THEODORE C. CHAN MD (DIRECTOR DEPT OF EMERGENCY MEDICINE)
(619) 543-6463
Entity
Organization

Contact information

Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037
(858) 657-7000
Mailing address
FILE NO 54826, LOS ANGELES, CA 90074-4826
(888) 486-4340

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0069871
CA
Enumeration date
07/16/2006
Last updated
08/06/2020
About Stedi
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