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Organization

UC IRVINE HEALTH - DEPT. OF PSYCHIATRY

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
DR. MANUEL PORTO M.D. (PRESIDENT & CEO)
(714) 456-2986
Entity
Organization

Contact information

Practice address
19722 MACARTHUR BLVD, IRVINE, CA 92612-2404
(714) 456-5902
(714) 456-5112
Mailing address
PO BOX 54739, LOS ANGELES, CA 90054-0739
(714) 456-3760
(714) 456-2398

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
08/11/2015
Last updated
08/13/2015
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