Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION)
(858) 249-6752
Entity
Organization
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327
CMS
CA
01
—
364823300
US DEPT OF LABOR
—
01
—
364823301
US DEPT OF LABOR
—
01
—
364823302
US DEPT OF LABOR
—
01
—
364823303
US DEPT OF LABOR
—
01
—
364823304
US DEPT OF LABOR
—
01
—
364823305
US DEPT OF LABOR
—
01
—
364823306
US DEPT OF LABOR
—
01
—
364823307
US DEPT OF LABOR
—
01
—
364823310
US DEPT OF LABOR
—
01
—
CGP016905
GHPP
CA
01
—
CQ4024
RAILROAD MEDICARE
—
05
—
ZZZP3712Z
—
CA
Enumeration date
09/01/2006
Last updated
04/25/2024
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