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General NPI Number Information
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NPI Number | 1952322935
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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 | 07/22/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3855 HEALTH SCIENCES DR
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City | LA JOLLA
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State | CA
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Zip | 92093-0845
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Country | US
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Telephone | 858-822-6088
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Fax | 858-822-6092
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Provider Business Mailing Address
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Address Line | PO BOX 743475
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City | LOS ANGELES
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State | CA
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Zip | 90074-3475
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR UCSD AMCARE PHARM
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Name | TRACEY SPANGENBERG
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Credential |
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Telephone | 619-543-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PHE46932
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHE46932
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHE46932
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License Number State | CA
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