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NPI Code Detail

MEDICARE: UC REGENTS

MEDICARE: UC REGENTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CU0494OTHERCARAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZP3010ZOTHERCAMEDI-CAL GROUP #
2ZZZ53996ZOTHERCABLUE SHIELD GROUP #

General Provider Information

NPI Number : 1356399380
Entity Type Code : Organization
Provider Name (Legal Business Name) : UC REGENTS
Provider Business Mailing Address
First Line : PO BOX 54509
Second Line :
City : LOS ANGELES
State : CA
Zip : 90054-0509
Country : US
Telephone Number : 714-456-8068
Fax Number : 714-456-3765
Provider Business Practice Location Address
First Line : 101 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868
Country : US
Telephone Number : 714-456-8068
Fax Number : 714-456-3765
Authorized Official
Title or Position : UPS PROVIDER RELATIONS
Name : DR. UCI HEALTH PROVIDER RELATIONS
Credential :
Telephone Number : 714-456-2986
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/17/2018

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Directions to “UC REGENTS ” Practice Location

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