Provider Demographics
NPI:1518120450
Name:UNIVERSTIY CALIFORNIA MEDICAL CENTER, IRVINE
Entity Type:Organization
Organization Name:UNIVERSTIY CALIFORNIA MEDICAL CENTER, IRVINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE NURSE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMFUECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-456-3896
Mailing Address - Street 1:101 THE CITY DR S
Mailing Address - Street 2:ROUTE 203, BLDG. 3
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:714-456-8961
Mailing Address - Fax:714-456-3310
Practice Address - Street 1:101 THE CITY DR S
Practice Address - Street 2:ROUTE 203, BLDG. 3
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-8961
Practice Address - Fax:714-456-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18112281PC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281PC2000XHospitalsChronic Disease HospitalChildren