Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Plastic Surgery Division UCI
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA COPEN (PROVIDER ENROLLMENT MANAGER)
(714) 456-6227
Entity
Organization
Contact information
Practice address
200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868
(714) 456-3228
(714) 456-2229
Mailing address
POB 31001-2482, PASADENA, CA 91110-2482
(714) 456-8026
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091270
—
CA
Enumeration date
07/07/2006
Last updated
05/22/2025
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