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Organization

UNIVERSITY OF CALIFORNIA IRVINE

Active
Other names
UCI Health - Irvine MC Outpatient Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RANDOLPH SIWABESSY (SR VP AND CFO)
(323) 442-8747
Entity
Organization

Contact information

Practice address
19210 JAMBOREE ROAD, IRVINE, CA 90223
(714) 456-5514
Mailing address
1900 S STATE COLLEGE BLVD STE 400, ROUTE# 183, ANAHEIM, CA 92806-6153
(714) 456-7890

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5689774
NCPDP
CA
Enumeration date
09/22/2025
Last updated
02/04/2026
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