Organization
REGENTS OF THE UNIVERSITY OF CLAIFORNIA UNIV NEURSCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-2986
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 31001-2450, PASADENA, CA 91110-2450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS4851
RAILROAD MEDICARE GROUP
CA
01
—
GR0040280
MEDI-CAL GROUP #
CA
01
—
ZZZ18123Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
05/07/2019
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