National Provider Identifier Database

REGENTS OF THE UNIVERSITY OF CALIFORNIA
Adolescent Medicine

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.


Contact Information

REGENTS OF THE UNIVERSITY OF CALIFORNIA
7910 FROST STREET
STE 350
SAN DIEGO, CA92123-2771
Phone: 858-496-4800
Fax: 858-496-4850
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for REGENTS OF THE UNIVERSITY OF CALIFORNIA

NPI Number 1013035716
Legal business name
LBN
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official BRETTEN PICKERING - (DIVISION CHIEF OF GENERAL ACADEMIC)
Entity Organization
Organization subpart No
Enumeration date 03/27/2007
Last updated 09/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0105540
  • CA Other: ZZZ69468Z BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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