Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUSS (AUTHORIZED OFFICIAL)
(619) 470-4321
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, BUILDING D, SUITE 204, ENCINITAS, CA 92024-1328
(858) 552-0600
(858) 552-0604
Mailing address
FILE NO 54826, LOS ANGELES, CA 90074-4826
(562) 809-3525
(562) 468-0347
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952637050
—
CA
Enumeration date
10/23/2009
Last updated
08/06/2020
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