Organization
UC IRVINE HEALTH MEDICAL GROUP
Active
Organization
UC IRVINE HEALTH MEDICAL GROUP
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) 456-2986
Entity
Organization
Contact information
Practice address
293 S MAIN ST, SUITE 200, ORANGE, CA 92868-3843
(714) 838-8848
(714) 771-0733
Mailing address
PO BOX 54509, LOS ANGELES, CA 90054-0509
(714) 456-6585
(714) 456-8101
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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