| Organization Name: | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
| NPI Number: | 1558463927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN DUNCAN CAMPBELL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 200 West Arbor Dr Ucsd Medical Group Mc-8201 San Diego |
| State: | CA US |
| Postal Code: | 921038201 |
| Phone Number: | 6195431899 |
| Fax Number: | 6195433183 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |