| Uc Irvine Medical Center | |
|
1915 W. Orangewood Ave. Suite 200 Orange CA 92868-2047 | |
| (714) 939-6118 | |
| (714) 939-7569 |
| Full Name | Uc Irvine Medical Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1915 W. Orangewood Ave., Orange, California |
| Authorized Official Name and Position | John A. Heydt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7144562986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Irvine Medical Center 1915 W. Orangewood Ave. Suite 200 Orange CA 92868-2047 Ph: (714) 939-6118 | Uc Irvine Medical Center 1915 W. Orangewood Ave. Suite 200 Orange CA 92868-2047 Ph: (714) 939-6118 |
| NPI Number | 1427393610 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427393610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 060000148 (California) | Primary |
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