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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UCSD Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION)
(858) 249-6752
Entity
Organization

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-2410
(800) 926-8273

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2327
CMS
CA
01
364823300
US DEPT OF LABOR
01
364823301
US DEPT OF LABOR
01
364823302
US DEPT OF LABOR
01
364823303
US DEPT OF LABOR
01
364823304
US DEPT OF LABOR
01
364823305
US DEPT OF LABOR
01
364823306
US DEPT OF LABOR
01
364823307
US DEPT OF LABOR
01
364823308
US DEPT OF LABOR
01
364823310
US DEPT OF LABOR
01
CGP016905
GHPP
CA
01
CQ4024
RAILROAD MEDICARE
01
ZZZP3720Z
CALOPTIMA
CA
05
ZZZP3720Z
CA
Enumeration date
09/07/2006
Last updated
04/25/2024
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