Organization
UNIVERSITY OF CALIFORNIA REGENTS
Active
Other names
UCSD Biochemical Genetics Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L NYHAN JR. MD (LAB DIRECTOR)
(619) 543-5260
Entity
Organization
Contact information
Practice address
220 DICKINSON ST, ROOM 203, SAN DIEGO, CA 92103
(619) 543-5260
(619) 543-3565
Mailing address
9500 GILMAN DR, MAIL CODE 0830, LA JOLLA, CA 92093-0830
(619) 543-5260
(619) 543-3565
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB04102F
—
CA
Enumeration date
12/26/2006
Last updated
08/22/2020
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