Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Parent organization
UNIVERSITY OF CALIFORNIA IRVINE
Other names
UCI HEALTH-COSTA MESA HOME INFUSION PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA IRVINE
Authorized official
RANDOLPH SIWABESSY (CHIEF FINANCIAL OFFICER AND SR. VP)
(714) 456-5180
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD STE 400, COSTA MESA, CA 92627-3786
(949) 386-5011
(949) 386-5053
Mailing address
1500 S DOUGLASS RD, SUITE #200, RT 183, ANAHEIM, CA 92806-6912
(949) 445-8768
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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