Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH SIWABESSY (SR VP AND CFO)
(714) 456-5180
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5516
(714) 456-5998
Mailing address
101 THE CITY DRIVE SOUTH, RT 32, ORANGE, CA 92868
(714) 456-5516
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5678656
NCPDP
CA
Enumeration date
06/27/2022
Last updated
02/04/2026
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