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Organization

UC IRVINE

Active
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Organization

UC IRVINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM RUSSEL M.D. (GME DIRECTOR)
(714) 456-7252
Entity
Organization

Contact information

Practice address
101 THE CITY DR S, BLDG 53, ROOM 302A, ORANGE, CA 92868-3201
(714) 456-8381
Mailing address
11 MOON DUST, IRVINE, CA 92603-3773

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A92819
CA

Other

Enumeration date
11/09/2007
Last updated
11/15/2007
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