Organization
UC IRVINE HEALTH PACIFIC COAST NEUROSURGERY
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
ROGER L CRUMLEY MD (INTERIM PRESIDENT)
(714) 456-2976
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD, SUITE 240, COSTA MESA, CA 92627-3786
(949) 999-2411
(949) 999-2408
Mailing address
PO BOX 54840, LOS ANGELES, CA 90054-0840
(714) 456-3856
(714) 456-8101
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
05/04/2015
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