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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UCSD Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS PRICE (EXECUTIVE DIRECTOR)
(858) 249-6752
Entity
Organization

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-2410
(800) 926-8273

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
207ZC0500X
Cytopathology Physician
207ZD0900X
Dermatopathology (Pathology) Physician
207ZF0201X
Forensic Pathology Physician
207ZH0000X
Hematology (Pathology) Physician
207ZI0100X
Immunopathology Physician
207ZM0300X
Medical Microbiology Physician
207ZN0500X
Neuropathology Physician
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
207ZP0101X
Anatomic Pathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
207ZP0104X
Chemical Pathology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
207ZP0213X
Pediatric Pathology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13933
CMS
CA
01
364823300
US DEPT OF LABOR
01
364823301
US DEPT OF LABOR
01
364823302
US DEPT OF LABOR
01
364823303
US DEPT OF LABOR
01
364823304
US DEPT OF LABOR
01
364823305
US DEPT OF LABOR
01
364823306
US DEPT OF LABOR
01
364823307
US DEPT OF LABOR
01
364823308
US DEPT OF LABOR
01
364823310
US DEPT OF LABOR
01
72
RYAN WHITE
CA
01
CGP016905
GHPP
CA
01
CQ4024
RAILROAD MEDICARE
01
GR0013570
CALOPTIMA
CA
05
GR0013570
CA
01
ZZZ26234Z
BLUE SHIELD GRP
Enumeration date
08/30/2006
Last updated
04/25/2024
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