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Organization
UCI CARDIOLOGY- FOUNTAIN VALLEY
Active
Organization
UCI CARDIOLOGY- FOUNTAIN VALLEY
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, SUITE 461, FOUNTAIN VALLEY, CA 92708-7501
(714) 751-3540
(714) 751-5626
Mailing address
PO BOX 54509, LOS ANGELES, CA 90054-0509
(714) 456-6655
(714) 456-5747
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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