Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCI-PBG SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HOYT MD (DEPT CHAIR)
(714) 456-8068
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 54708, LOS ANGELES, CA 90054-0708
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG2950
RAILROAD MEDICARE GROUP
CA
01
—
GR0058810
MEDI-CAL GROUP #
CA
01
—
ZZZ53729Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
07/31/2008
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