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Organization

UC IRVINE MEDICAL CENTER

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
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization

Contact information

Practice address
101 THE CITY DRIVE SOUTH, SENIOR CENTER, PAVILION IV, UC IRVINE MEDICAL CENTER - GERIATRICS, PRIMARY CARE, ORANGE, CA 92868-3201
(714) 456-2332
(714) 456-5997
Mailing address
PO BOX 513228, LOS ANGELES, CA 90051-3228
(714) 456-6585
(714) 456-8101

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/14/2016
Last updated
10/14/2016
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