Organization
UC IRVINE HEALTH CANCER CENTER, NEWPORT PACIFIC MEDICAL CENTER
Active
Parent organization
UNIVERSITY OF CALIFORNIA IRVINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA IRVINE
Authorized official
PETER J WOON (CONTROLLER)
(714) 456-6270
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD, SUITE 400, COSTA MESA, CA 92627-3786
(949) 999-2400
(949) 999-2405
Mailing address
PO BOX 31001-1363, PASADENA, CA 91110-1363
(714) 456-6324
(714) 456-6273
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W1930
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
01/08/2014
Last updated
11/03/2015
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