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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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