# UNIVERSITY INTERNAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932520509
- **Authorized official:** KENNY HEINE (VP OF OPERATIONS)
- **Authorized official phone:** (536) 614-6073

## Contact information

- **Practice address:** 5626 OBERLIN DR STE 110, SAN DIEGO, CA 92121-1705
- **Practice address phone:** (858) 657-7000
- **Mailing address:** 407 EAST AVE STE 120, PAWTUCKET, RI 02860-5299
- **Mailing address phone:** (401) 725-4700
- **Mailing address fax:** (401) 725-4740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/26/2013
- **Last updated:** 07/24/2024