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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 & OPERATIONS)
(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
208200000X
Plastic Surgery Physician
Primary
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician

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
ZZZP3716Z
BLUE SHIELD
CA
05
ZZZP3716Z
CA
Enumeration date
09/07/2006
Last updated
04/25/2024
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