Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Medical Group, UCSD Dept Of Neurophysiology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DENNIS PRICE (DIRECTOR, REVENUE CYCLE & OPERATION)
(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
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327
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
—
CGP016905
GHPP
—
01
—
CQ4024
RAILROAD MEDICARE
—
05
—
GR0013561
—
CA
01
—
ZZZ26233Z
BLUE SHIELD
CA
Enumeration date
09/01/2006
Last updated
04/01/2024
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