Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Parent organization
UNIVERSITY OF CALIFORNIA IRVI
Other names
UCI Health - Placentia Linda
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA IRVI
Authorized official
RANDOLPH PERSEVERANCE SIWABESSY (VICE PRESIDENT AND CHIEF FINANCIAL)
(714) 456-5180
Entity
Organization
Contact information
Practice address
1301 N ROSE DR, PLACENTIA, CA 92870-3802
(714) 993-2000
Mailing address
1500 S DOUGLASS RD, SUITE 200, RT 183, ANAHEIM, CA 92806-6911
(714) 456-6245
(714) 456-6715
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060000157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000431
HUMANA
—
01
—
001295-0001
PACIFICARE OF CALIFORNIA
—
01
—
050589B000000
SECTION 1011
—
01
—
752918773928700000
TRICARE
—
01
—
8276
HEALTH NET
—
01
—
908905630
AETNA US HEALTHCARE (NATI
—
05
—
HSC30589I
—
CA
05
—
HSP40589I
—
CA
01
—
ZZZD3009Z
BS OF CALIFORNIA
—
Enumeration date
07/06/2006
Last updated
05/09/2024
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