Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY SKINNER MD (DEPT CHAIR)
(714) 456-3905
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6364
(714) 456-3905
(714) 456-2338
Mailing address
PO BOX 513228, LOS ANGELES, CA 90051-3228
(714) 456-3905
(714) 456-2338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE1350
RAILROAD MEDICARE GROUP
CA
01
—
ZZZ62154Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/02/2006
Last updated
08/22/2020
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