Organization
UNIVERSITY HEAD & NECK SURGEONS
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 MD (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
250 E YALE LOOP, SUITE 200, IRVINE, CA 92604-4697
(949) 225-6300
(949) 225-6303
Mailing address
PO BOX 513700, LOS ANGELES, CA 90051-3700
(714) 456-2986
(714) 456-2979
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
08/18/2016
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