Organization
UC REGENTS DEPARTMENT OF RADIATION ONCOLOGY
Active
Other names
The Regents of the University of California
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) 456-8068
(714) 456-3765
Mailing address
PO BOX 31001-2399, PASADENA, CA 91110-2399
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH1410
RAILROAD MEDICARE GROUP
CA
01
—
GR0014560
MEDI-CAL GROUP #
CA
01
—
ZZZ91955Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
03/14/2019
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