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Organization
UC REGENTS
Active
Organization
UC REGENTS
Active
Other names
UCI Department of Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-2986
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-3344
Mailing address
PO BOX 31001-2482, PASADENA, CA 91110-2482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZP3010Z
—
CA
Enumeration date
02/06/2008
Last updated
08/16/2018
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