Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
North Coastal Multi-Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DENNIS PRICE (DIRECTOR, REVENUE & OPERATIONS)
(858) 249-6752
Entity
Organization
Contact information
Practice address
1200 GARDEN VIEW RD STE 200, ENCINITAS, CA 92024-2475
(619) 543-5733
(619) 543-3183
Mailing address
1200 GARDEN VIEW RD STE 200, ENCINITAS, CA 92024-2475
(619) 543-1899
(619) 543-3183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/05/2011
Last updated
04/15/2021
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