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Organization
UCSD
Active
Organization
UCSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE THAI (ADMINISTRATOR)
(858) 534-4040
Entity
Organization
Contact information
Practice address
9500 GILMAN DR, MC #9116A, LA JOLLA, CA 92093-5004
(858) 534-4040
Mailing address
9500 GILMAN DR, MC #9116A, LA JOLLA, CA 92093-5004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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