Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Active
Other names
UCSD Dept of Gastroenterology
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
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207RI0008X
Hepatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ4024
RAILROAD MEDICARE
CA
05
—
GR0013562
—
CA
05
—
ZZZP3708Z
—
CA
Enumeration date
03/27/2007
Last updated
04/01/2024
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