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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCI Primary Care Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
UPS ENROLLMENT (TEAM)
(714) 745-8709
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 31001-2482, PASADENA, CA 91110-2482
(714) 456-8026
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
364S00000X
Clinical Nurse Specialist
—
—
364SA2100X
Acute Care Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD3099
RAILROAD MEDICARE GROUP
CA
01
—
GR0063900
MEDI-CAL GROUP #
CA
01
—
ZZZ05704Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ52352Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ54006Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ54007Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ54010Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ54011Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ54012Z
BLUE SHIELD GROUP #
CA
01
—
ZZZ62004Z
BLUE SHIELD GROUP #
CA
01
—
ZZZP5717Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
03/18/2024
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