Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Medical 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
Mailing address
FILE 556631, LOS ANGELES, CA 90074-5663
(619) 543-6308
(619) 543-3003
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
090000101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084
WISCONSIN PHYSICIAN SVCS
CA
01
—
050025
BLUE CROSS
CA
01
—
126090400
DEPARTMENT OF LABOR
CA
05
—
HSC30025W
—
CA
01
—
ZZZA3715Z
BLUE SHIELD
CA
01
—
ZZZA3723Z
BLUE SHIELD
CA
Enumeration date
09/20/2006
Last updated
07/16/2025
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