OrganizationRegents Of The Unviersity Of CaliforniaEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address9300 Campus Point Dr, La Jolla, CA 92037(858) 657-7000(888) 486-4340PECOS EnrollmentBased on the most recent information from CMS, provider Regents Of The Unviersity Of California does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1629095500Provider TypeOrganizationFull NameRegents Of The Unviersity Of CaliforniaSubpartNoEnumeration Date7/16/2006Last Updated8/6/2020Contact InformationPractice LocationPractice Address9300 Campus Point Dr, La Jolla, CA 92037Phone(858) 657-7000FaxUnlisted FaxMailing LocationMailing AddressFile No 54826, Los Angeles, CA 90074-4826Phone(888) 486-4340FaxUnlisted FaxAuthorized OfficialNameChan, Theodore C. (Director Dept Of Emergency Medicine)Phone(619) 543-6463Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDGR0069871DescriptionMedicaidIssuerUnlistedCalifornia