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General NPI Number Information
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NPI Number | 1235232778
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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 | 09/07/2006
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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 & OPERATION
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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