# UNIVERSITY OF CALIFORNIA SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679831325
- **Authorized official:** MS. VICTORIA LYNN WHEATON-YOUNG AANC -BC (FNP MSN)
- **Authorized official phone:** (619) 582-6950

## Contact information

- **Practice address:** 4527 CONTOUR BLVD, UNIR 7, SAN DIEGO, CA 92115-3464
- **Practice address phone:** (619) 582-6950
- **Mailing address:** 4527 CONTOUR BLVD, UNIR 7, SAN DIEGO, CA 92115-3464
- **Mailing address phone:** (619) 582-6950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 478956 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012
