Organization
OB/GYN UNIVERSITY ASSOCIATES- FOUNTAIN VALLEY
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
ROGER L. CRUMLEY MD (INTERIM PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
11190 WARNER AVE, SUITE 402, FOUNTAIN VALLEY, CA 92708-4019
(714) 556-3902
(714) 432-1367
Mailing address
PO BOX 513980, LOS ANGELES, CA 90051-3980
(714) 456-6431
(714) 456-7754
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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