Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI R DONALDSON (CFO)
(619) 543-6060
Entity
Organization
Contact information
Practice address
200 WEST ARBOR DRIVE, MC8937, SAN DIEGO, CA 92103-8937
(619) 543-6308
(619) 543-3004
Mailing address
FILE 55662, LOS ANGELES, CA 90074-5662
(619) 543-6308
(619) 543-3004
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
080000709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02818F
—
CA
Enumeration date
10/13/2006
Last updated
05/10/2023
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