Organization · Type 2 NPI

Regents of the University of California

Parenteral & Enteral Nutrition Supplies (DME) · San Diego, CA

NPI number 1073108809 Active

Practice location

3636 Gateway Center Ave Ste 102
San Diego, CA 92102-4524

Fax (858) 732-0870

Mailing address

File 556631
Los Angeles, CA 90074-0001

Specialties and licenses

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500XNone listed

Parenteral & Enteral Nutrition Supplies (DME): Definition to come...

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About NPI 1073108809

Regents of the University of California's National Provider Identifier is 1073108809, issued on Mar 3, 2021. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in San Diego, CA. The record was last updated on Jul 22, 2026.