Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Parent organization
UC IRVINE MEDICAL CENTER
Other names
UCI Family Health Center - Anaheim
Organization subpart
Yes
Provider details
NPI number
Legal business name
UC IRVINE MEDICAL CENTER
Authorized official
GINA CHURCHILL (REIMBURSEMENT DIRECTOR)
(714) 509-6266
Entity
Organization
Contact information
Practice address
2441 W LA PALMA AVE, ANAHEIM, CA 92801-2658
(657) 282-6356
Mailing address
1500 S DOUGLASS RD #200, RT 183, ANAHEIM, CA 92806-6912
(714) 509-6299
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
EXEMPT
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP11874F
—
CA
05
—
FHC70104F
—
CA
05
—
HAP11874F
—
CA
05
—
ZZT12120F
—
CA
Enumeration date
07/11/2006
Last updated
08/21/2020
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