Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCI Ophthalmology Group
Organization subpart
No
Provider details
NPI number
Authorized official
UCI HEALTH PROVIDER RELATIONS (UPS PROVIDER RELATIONS)
(714) 456-8026
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 31001-2482, PASADENA, CA 91110-2482
(714) 456-8026
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS5589
RAILROAD MEDICARE GROUP
CA
01
—
GR0076780
MEDI-CAL GROUP #
CA
01
—
ZZZP3018Z
BLUE SHIELD GROUP #
CA
Enumeration date
05/04/2006
Last updated
12/06/2023
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