Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Orthopaedic Faculty of Irvine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-2986
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-3905
(714) 456-2338
Mailing address
PO BOX 31001-2481, PASADENA, CA 91110-2481
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS7804
RAILROAD MEDICARE GROUP
CA
01
—
GR0017212
MEDI-CAL GROUP #
CA
01
—
ZZZP3024Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/05/2006
Last updated
08/17/2018
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