| Uci Medical Center | |
|
101 The City Dr S Orange CA 92868-3201 | |
| (714) 456-7295 | |
| (714) 456-7339 |
| Full Name | Uci Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 101 The City Dr S, Orange, California |
| Authorized Official Name and Position | Gina Churchill (REIMBURSEMENT DIRECTOR) |
| Authorized Official Contact | 7145096266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uci Medical Center 1500 S Douglass Rd #100, Rt 183 Anaheim CA 92806-6912 Ph: (714) 509-6266 | Uci Medical Center 101 The City Dr S Orange CA 92868-3201 Ph: (714) 456-7295 |
| NPI Number | 1154500510 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 5395658181 |
|---|---|
| Medicare Enrollment ID | O20120328000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154500510 | NPI | - | NPPES |
| HSM30348G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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