Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSD DEPARTMENT OF RADIOLOGY
Active
Other names
UCSD Department of Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DORROS M.D. (VICE CHAIRMAN, MEDICAL DIRECTOR)
(619) 543-6766
Entity
Organization
Contact information
Practice address
8929 UNIVERSITY CENTER LN, 101, SAN DIEGO, CA 92122-1006
(858) 457-4227
(858) 457-4231
Mailing address
PO BOX 741486, LOS ANGELES, CA 90074-1486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225213655
—
CA
Enumeration date
01/03/2008
Last updated
06/29/2020
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