Organization
UNIVERSITY OF CALIFORNIA, SAN DIEGO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI R DONALDSON (CFO)
(619) 543-6060
Entity
Organization
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(858) 657-7000
Mailing address
FILE 55663, LOS ANGELES, CA 90074-5663
(619) 543-7011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSC30025W
MEDICAID I/P
CA
01
—
ZZT40025F
MEDICAID O/P
CA
Enumeration date
03/27/2012
Last updated
05/04/2012
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