OrganizationUcsdGeneral Acute Care HospitalHospitalsPractice Address200 W Arbor Dr, San Diego, CA 92103-9001(619) 543-6222PECOS EnrollmentBased on the most recent information from CMS, provider Ucsd 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 ID1225287469Provider TypeOrganizationFull NameUcsdSubpartNoEnumeration Date9/11/2008Last Updated9/11/2008Contact InformationPractice LocationPractice Address200 W Arbor Dr, San Diego, CA 92103-9001Phone(619) 543-6222FaxUnlisted FaxMailing LocationMailing Address2020 Albatross St Apt 5, San Diego, CA 92101-1839PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameLopez, Nicole E (Resident Physician)Phone(612) 987-8339Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted Issuer