Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Parent organization
UDSD MEDICAL CENTER
Other names
UCSD Children/Adolescent Psychiatry Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
UDSD MEDICAL CENTER
Authorized official
MS. LORI R DONALDSON (CFO)
(619) 543-6060
Entity
Organization
Contact information
Practice address
6535 ALVARADO RD, SAN DIEGO, CA 92120-5002
(619) 543-6308
(619) 543-3004
Mailing address
FILE 55663, LOS ANGELES, CA 90074-5663
(619) 543-6308
(619) 543-3004
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
090000101
CA
283Q00000X
Psychiatric Hospital
Primary
090000101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM30025F
—
CA
Enumeration date
07/29/2008
Last updated
04/28/2011
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