Organization
UCI PHYSICAL MEDICINE & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-8026
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, BLDG 10 ROOM 211, ORANGE, CA 92868
(714) 456-8702
(714) 456-6248
Mailing address
PO BOX 31001-2482, PASADENA, CA 91110-2482
(714) 456-8026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZP3014Z
BLUESHIELD PROVIDER NUMBE
CA
05
—
ZZZP3014Z
—
CA
Enumeration date
05/11/2006
Last updated
12/06/2023
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