OrganizationUniversity Of California, San DiegoGeneral Acute Care HospitalHospitalsPractice Address200 W Arbor Dr, Mc 8320, San Diego, CA 92103-9000(619) 543-5966PECOS EnrollmentBased on the most recent information from CMS, provider University Of California, San Diego 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 ID1548713597Provider TypeOrganizationFull NameUniversity Of California, San DiegoSubpartNoEnumeration Date7/26/2016Last Updated7/26/2016Contact InformationPractice LocationPractice Address200 W Arbor Dr, Mc 8320, San Diego, CA 92103-9000Phone(619) 543-5966FaxUnlisted FaxMailing LocationMailing Address200 W Arbor Dr, Mc 8320, San Diego, CA 92103-9000Phone(619) 543-5966FaxUnlisted FaxAuthorized OfficialNameMurtha, Alexandra (Program Co-Ordinator)Phone(619) 543-5966Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseA139326California