Organization
UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN (SURGERY)
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
1451 IRVINE BLVD, TUSTIN, CA 92780-3804
(714) 838-8408
(877) 838-0003
Mailing address
PO BOX 512347, LOS ANGELES, CA 90051-0347
(714) 456-3856
(714) 456-6216
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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