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Organization

UCR HEALTH- PLASTIC & RECONSTRUCTIVE SURGERY

Active
Parent organization
REGENTSOF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTSOF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. JOHN HEYDT M.D. (CHIEF EXECUTIVE OFFICER)
(714) 456-2986
Entity
Organization

Contact information

Practice address
10694 MAGNOLIA AVE, RIVERSIDE, CA 92505-1816
(951) 827-7587
(951) 402-2802
Mailing address
PO BOX 31001-2130, PASADENA, CA 91110-2130
(213) 412-1973
(213) 412-1981

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
11/05/2015
Last updated
11/05/2015
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