Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Neurosurgical Associates of Irvine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-2986
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 31001-2467, PASADENA, CA 91110-2467
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH6663
RAILROAD GROUP #
CA
01
—
GR0017211
MEDI-CAL GROUP #
CA
01
—
ZZZP3025Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
08/17/2018
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