Organization
UC IRVINE CANCER CENTER - NEWPORT
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
1640 NEWPORT BLVD, SUITE 450, COSTA MESA, CA 92627-3786
(949) 999-2400
(949) 999-2405
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
01/18/2017
Last updated
01/18/2017
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