Organization
GOTTSCHALK MEDICAL PLAZA - DERMATOLOGY
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO MD (PRESIDENT & CEO)
(714) 456-2986
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA DR, BLDG. 820, IRVINE, CA 92697-3950
(949) 824-0606
(855) 209-8413
Mailing address
PO BOX 513230, LOS ANGELES, CA 90051-3230
(714) 456-3760
(714) 456-2398
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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