Regents Of The University Of California in San Diego - Adolescent Medicine

Regents Of The University Of California - NPI 1013035716

Regents Of The University Of California is a Adolescent Medicine in San Diego, California. Regents Of The University Of California practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Regents Of The University Of California is 1013035716. The last update date is 2008-09-24.

Regents Of The University Of California's current location address is 3860 Calle Fortunada, San Diego, California. You can contact this provider via phone number 8585021135 and fax number 8586364319. The mailing address for Regents Of The University Of California is 3860 Calle Fortunada, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Regents Of The University Of California
Address 3860 Calle Fortunada, San Diego, California
Phone Number 8585021135
Fax Number 8586364319
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIVISION C
Authorized Official Name Pickering Drake Bretten
Credentials M.D.
Telephone Number 8584964827

NPI Number Detail

NPI Number 1013035716
Provider Enumeration Date 2007-03-27
Last Updated Date 2008-09-24

Provider Mailing Address Detail

Address 3860 Calle Fortunada
City San Diego
State California (CA)
Post Code 921234800
Phone Number 8585021135
Fax Number 8586364319

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0105540 CA --
ZZZ69468Z CA BLUE SHIELD

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FAQs about Regents Of The University Of California

What is the unique 10-digit identification code assigned to Regents Of The University Of California by the Centers for Medicare & Medicaid Services?

The Regents Of The University Of California has been issued the NPI (National Provider Identifier) 1013035716, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Regents Of The University Of California's facilities are situated?

The facilities of Regents Of The University Of California are physically located at the following address: 3860 Calle Fortunada, San Diego, CA, 921234800.

What is Regents Of The University Of California's area of expertise and its corresponding taxonomy classification?

The Regents Of The University Of California's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1013035716 to Regents Of The University Of California?

The Regents Of The University Of California received its 1013035716 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.

As of what date were the Regents Of The University Of California's details last updated?

The information pertaining to the Regents Of The University Of California, including its address, specialty, and other details, was most recently updated on 2008-09-24.

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