| Uci, Dept Of Medicine | |
|
101 The City Dr S Orange CA 92868-3201 | |
| (714) 456-2986 | |
| (714) 456-2979 |
| Full Name | Uci, Dept Of Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 101 The City Dr S, Orange, California |
| Authorized Official Name and Position | Debra A Koch (PROVIDER RELATIONS) |
| Authorized Official Contact | 7144568068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uci, Dept Of Medicine Po Box 54509 Los Angeles CA 90054-0509 Ph: (714) 456-2986 | Uci, Dept Of Medicine 101 The City Dr S Orange CA 92868-3201 Ph: (714) 456-2986 |
| NPI Number | 1376987842 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376987842 | NPI | - | NPPES |
| GPS001170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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