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REGENTS OF UNIVERSITY OF CALIFORNIA NPI 1003001009

NPI Profile

NPI: 1003001009
Provider Name: REGENTS OF UNIVERSITY OF CALIFORNIA
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
19262 JAMBOREE RD
IRVINE, CA
ZIP 92612
Get Directions

Phone: (949) 824-2343

REGENTS OF UNIVERSITY OF CALIFORNIA is a healthcare provider in Irvine, CA. REGENTS OF UNIVERSITY OF CALIFORNIA NPI is 1003001009. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19262 JAMBOREE RD
IRVINE, CA
ZIP 92612-502
Phone: (949) 824-2343
Fax: (949) 824-8737

The provider's authorized official is Ronald A Kotkin .
The authorized official title is Clinical Professor and has the following contact phone number (949) 824-6292.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & AdolescentPSY12351CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/9/2018

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