Organization
UCI HLTH AT CORONA REG MED CTR- NEUROLOGY
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTOA M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(714) 456-7005
(877) 829-7891
Mailing address
PO BOX 54778, LOS ANGELES, CA 90054-0778
(714) 456-6054
(714) 456-5342
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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