| Regents Of The University Of California | |
|
101 The City Dr S Orange CA 92868-3201 | |
| (714) 456-8068 | |
| Not Available |
| Full Name | Regents Of The University Of California |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 101 The City Dr S, Orange, California |
| Authorized Official Name and Position | John A Heydt (CEO/PRESIDEN) |
| Authorized Official Contact | 7144568068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The University Of California Po Box 54509 Los Angeles CA 90054-0509 Ph: (714) 456-8068 | Regents Of The University Of California 101 The City Dr S Orange CA 92868-3201 Ph: (714) 456-8068 |
| NPI Number | 1881988632 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881988632 | NPI | - | NPPES |
| GPS001170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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