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NPI 1225130677

NPI 1225130677 : REGENTS OF THE UNIVERSITY OF CALIFORNIA : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1225130677
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    Entity Type          |    Organization 
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    Legal Business Name  |    REGENTS OF THE UNIVERSITY OF CALIFORNIA 
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Dates
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    Enumeration Date     |    09/05/2006
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    Last Update Date     |    04/25/2024
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Provider Practice Location Address
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    Address Line         |    200 W ARBOR DR 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92103-9000
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    Country              |    US
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    Telephone            |    800-926-8273
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    Fax                  |    888-539-8781
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Provider Business Mailing Address
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    Address Line         |    FILE 57326 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-2410
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    Country              |    US
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    Telephone            |    800-926-8273
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR REVENUE CYCLE & OPERATIONS
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    Name                 |    MR. MICHAEL DENNIS PRICE 
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    Credential           |    
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    Telephone            |    858-249-6752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207XX0801X
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    Taxonomy Name        |    Orthopaedic Trauma Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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