# UC IRVINE HEALTH PACIFIC COAST NEUROSURGERY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639560881
- **Legal business name:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Authorized official:** ROGER L CRUMLEY MD (INTERIM PRESIDENT)
- **Authorized official phone:** (714) 456-2976

## Contact information

- **Practice address:** 1640 NEWPORT BLVD, SUITE 240, COSTA MESA, CA 92627-3786
- **Practice address phone:** (949) 999-2411
- **Practice address fax:** (949) 999-2408
- **Mailing address:** PO BOX 54840, LOS ANGELES, CA 90054-0840
- **Mailing address phone:** (714) 456-3856
- **Mailing address fax:** (714) 456-8101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 05/04/2015