Organization
UNIVERSITY OF CALIFORNIA - SAN DIEGO
Active
Organization
UNIVERSITY OF CALIFORNIA - SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY ZISOOK (RESIDENCY DIRECTOR)
(858) 534-4040
Entity
Organization
Contact information
Practice address
200 W ARBOR DR, MAIL CODE 8620, SAN DIEGO, CA 92103-9001
(619) 543-6350
Mailing address
5430 LA JOLLA BLVD, #301, LA JOLLA, CA 92037-7666
(650) 315-1062
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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