Organization
UC IRVINE MEDICAL CENTER - FOR OC KIDS
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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