Regents of University of California
Regents of University of California is a Clinical Child & Adolescent Psychologist in Irvine, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
19262 Jamboree RdIrvine, CA 92612-2502
Phone: (949) 824-2343
Fax: (949) 824-8737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X · Licence PSY12351 (CA) |
|---|
Record details
| NPI number | 1003001009 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Kotkin — Clinical Professor · (949) 824-6292 |
| NPI enumerated | September 12, 2007 |
| Last updated in NPPES | September 14, 2007 |
| Mailing address | 19262 Jamboree Rd, Irvine, CA 92612-2502 |
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