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Organization
REGENTS OF UNIV OF CA
Active
Organization
REGENTS OF UNIV OF CA
Active
Other names
NEPHROLOGY-UNIV PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOSTRATOLA DABIR VAZIRI MD (CHAIRMAN NEPHROLOGY DIVISION)
(714) 456-5142
Entity
Organization
Contact information
Practice address
101 CITY DR S, BLDG 53, RTE 81, ORANGE, CA 92868
(714) 456-5142
(714) 456-7816
Mailing address
PO BOX 513359, LOS ANGELES, CA 90051-3359
(714) 456-6238
(714) 456-7816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065170
—
CA
Enumeration date
04/27/2006
Last updated
06/27/2008
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