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Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Parent organization
UNIVERSITY OF CALIFORNIA IRVI
Other names
UCI Health - Fountain Valley, Fountain Valley Regional Hospital & Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA IRVI
Authorized official
RANDOLPH PERSEVERANCE SIWABESSY (VICE PRESIDENT AND CHIEF FINANCIAL)
(714) 456-5180
Entity
Organization
Contact information
Practice address
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
(714) 966-7200
Mailing address
1500 S DOUGLASS RD, SUITE 200, RT 183, ANAHEIM, CA 92806-6911
(714) 456-6245
(714) 456-6715
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
06000109
CA
Other
Enumeration date
07/27/2006
Last updated
07/23/2024
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