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Organization

UNIVERSITY OF CALIFORNIA IRVINE

Active
Parent organization
UNIVERSITY OF CALIFORNIA IRVI
Other names
UCI Health - Los Alamitos
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF CALIFORNIA IRVI
Authorized official
RANDOLPH PERSEVERANCE SIWABESSY (VICE PRESIDENT AND CHIEF FINANCIAL)
(714) 456-5180
Entity
Organization

Contact information

Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3101
(562) 598-1311
Mailing address
1500 S DOUGLASS RD, SUITE 200, RT 183, ANAHEIM, CA 92806-6911
(714) 456-6245
(714) 456-6715

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060000142
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000406
HUMANA
01
002733-0001
PACIFICARE OF CALIFORNIA
01
050551B000000
SECTION 1011
01
443786740
AETNA US HEALTHCARE
01
8202
HEALTH NET
05
HSC30551H
CA
05
HSP40551H
CA
01
ZZZA3017Z
BS OF CALIFORNIA
Enumeration date
07/05/2006
Last updated
05/09/2024
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