Regents of the University of California
NPI #1619164969 in San Diego, California
Provider Information
- NPI Number
- 1619164969
- Entity Type
- Organization
- Organization Name
- Regents of the University of California
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Oct 1, 2007
- Last Updated
- Aug 6, 2020
Practice Location
- Address
- 4077 FIFTH AVE
- City
- San Diego
- State
- California
- ZIP Code
- 92103-2105
- Phone
- (619) 294-8111
Authorized Official
- Name
- THEODORE C. CHAN, M.D
- Title
- AUTHORIZED OFFICIAL
- Phone
- (619) 294-8111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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