Organization
UCI MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLISIS DEYNES MD (CLINICAL INSTRUCTOR)
(714) 279-6187
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5705
(714) 456-5390
Mailing address
277 S BROOKHURST ST APT C218, ANAHEIM, CA 92804-2456
(714) 270-6187
(714) 456-5390
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
A96059
CA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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