Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD DEPARTMENT OF PAIN MANAGEMENT, UCSD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DENNIS PRICE (PROVIDER ENROLLMENT)
(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
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327
CMS
CA
01
—
364823300
DEPT OF LABOR
—
01
—
364823301
DEPT OF LABOR
—
01
—
364823302
US DEPT OF LABOR
—
01
—
364823303
US DEPT OF LABOR
—
01
—
364823304
US DEPT OF LABOR
—
01
—
364823305
US DEPT OF LABOR
—
01
—
364823306
US DEPT OF LABOR
—
01
—
364823307
DEPT OF LABOR
—
01
—
364823308
DEPT OF LABOR
—
01
—
364823310
DEPT OF LABOR
—
01
—
CGP016905
GHPP GRP
CA
01
—
CQ4024
RAILROAD MEDICARE
—
05
—
GR0029830
—
CA
01
—
ZZZ25751Z
BLUE SHIELD- UCSD PAIN
CA
Enumeration date
09/07/2006
Last updated
04/01/2024
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