Organization
CHOC SUB-SPECIALTY CLINIC - NEUROLOGY
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 MD (PRESIDENT & CEO)
(714) 456-2986
Entity
Organization
Contact information
Practice address
505 S MAIN ST, SUITE 350, ORANGE, CA 92868-4509
(888) 770-2462
(855) 246-2329
Mailing address
PO BOX 54778, LOS ANGELES, CA 90054-0778
(714) 456-3851
(714) 456-6216
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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