OrganizationUniversity Of California, San Diego Medical CenterGeneral Acute Care HospitalHospitalsPractice Address200 W Arbor Dr, San Diego, CA 92103-9001(619) 543-6222PECOS EnrollmentBased on the most recent information from CMS, provider University Of California, San Diego Medical Center 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 5 days ago.Profile DetailsProvider ID1013079896Provider TypeOrganizationFull NameUniversity Of California, San Diego Medical CenterSubpartNoEnumeration Date12/15/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address200 W Arbor Dr, San Diego, CA 92103-9001Phone(619) 543-6222FaxUnlisted FaxMailing LocationMailing Address7201 Convoy Ct, San Diego, CA 92111-1020Phone(619) 543-6222FaxUnlisted FaxAuthorized OfficialNameHogan, Robert (Director Of Finance)Phone(619) 543-6060Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerCaliforniaProvider IdentifiersIDDescriptionIssuerIDZZT40025FDescriptionMedicaidIssuerUnlistedCalifornia