# UNIVERSITY OF CALIFORNIA RIVERSIDE SCHOOL OF MEDICINE

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

## Provider details

- **NPI number:** 1831075407
- **Authorized official:** DEBORAH V. DEAS MD. MPH (VICE CHANCELLOR OF HEALTH SCIENCES)
- **Authorized official phone:** (951) 827-4564

## Contact information

- **Practice address:** 9825 COUNTRY FARM RD., RIVERSIDE, CA 92503
- **Practice address phone:** (951) 827-7653
- **Mailing address:** 900 UNIVERSITY DRIVE, S.O.M. EDUCATION BLDG. \#2, RIVERSIDE, CA 92521
- **Mailing address phone:** (951) 827-3257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 08/11/2025