# UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1760705321
- **Authorized official:** STEPHANIE ADELE JACOBS MD (FELLOW, UROGYNECOLOGY)
- **Authorized official phone:** (646) 894-7810

## Contact information

- **Practice address:** 101 THE CITY DR S, BLDG 56, STE 800, RTE 81, ORANGE, CA 92868-3201
- **Practice address phone:** (714) 456-8564
- **Practice address fax:** (714) 456-7754
- **Mailing address:** 531 E 13TH ST, APT 7, NEW YORK, NY 10009-3500
- **Mailing address phone:** (646) 894-7810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | A111035 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2010
- **Last updated:** 03/10/2010