| Uc Irvine | |
|
101 The City Dr S Bldg 53, Room 302a Orange CA 92868-3201 | |
| (714) 456-8381 | |
| Not Available |
| Full Name | Uc Irvine |
|---|---|
| Speciality | Clinic/center |
| Location | 101 The City Dr S, Orange, California |
| Authorized Official Name and Position | William Russel (GME DIRECTOR) |
| Authorized Official Contact | 7144567252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Irvine 11 Moon Dust Irvine CA 92603-3773 Ph: () - | Uc Irvine 101 The City Dr S Bldg 53, Room 302a Orange CA 92868-3201 Ph: (714) 456-8381 |
| NPI Number | 1326228057 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326228057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A92819 (California) | Primary |
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