Provider Demographics
NPI:1336679109
Name:UCR HEALTH - PSYCHIATRY
Entity Type:Organization
Organization Name:UCR HEALTH - PSYCHIATRY
Other - Org Name:UCR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, PHYSICIAN RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERENCIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-827-7793
Mailing Address - Street 1:PO BOX 741696
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-1696
Mailing Address - Country:US
Mailing Address - Phone:518-277-7939
Mailing Address - Fax:
Practice Address - Street 1:18881 VON KARMAN AVE # 1227
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1500
Practice Address - Country:US
Practice Address - Phone:844-827-8000
Practice Address - Fax:951-263-7238
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGENTS OF UNIVERSITY OF CALIFORNIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-14
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty