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Organization

UNIVERISTY OF CALIFORNIA, SAN DIEGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GRACE LIN M.D., PHD (PROGRAM DIRECTOR)
(619) 543-2888
Entity
Organization

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-3730
Mailing address
3295 CAMINITO EASTBLUFF UNIT 188, LA JOLLA, CA 92037-2898
(310) 430-2666

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
07/10/2015
Last updated
07/10/2015
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