Provider Demographics
NPI:1992085088
Name:UNIVERSITY CALIFORNIA, SAN DIEGO
Entity type:Organization
Organization Name:UNIVERSITY CALIFORNIA, SAN DIEGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR, INFECTIOUS DISEASE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SCHOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-822-0333
Mailing Address - Street 1:9500 GILMAN DR
Mailing Address - Street 2:MAIL STOP 0711
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0711
Mailing Address - Country:US
Mailing Address - Phone:858-822-0333
Mailing Address - Fax:858-822-5362
Practice Address - Street 1:9500 GILMAN DR
Practice Address - Street 2:MAIL STOP 0711
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0711
Practice Address - Country:US
Practice Address - Phone:858-822-0333
Practice Address - Fax:858-822-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1011977282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital