Organization
UC IRVINE MEDICAL CENTER
Active
Parent organization
UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA
Authorized official
DR. JOHN A. HEYDT M.D. (CHIEF EXECUTIVE OFFICER)
(714) 456-2986
Entity
Organization
Contact information
Practice address
1915 W. ORANGEWOOD AVE., SUITE 200, ORANGE, CA 92868-2047
(714) 939-6118
(714) 939-7569
Mailing address
1915 W. ORANGEWOOD AVE., SUITE 200, ORANGE, CA 92868-2047
(714) 939-6118
(714) 939-7569
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
060000148
CA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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