OrganizationUniveristy Of California San Diego Medical CenterGeneral Acute Care HospitalHospitalsPractice Address200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103-9001(888) 309-8273(858) 822-6583PECOS EnrollmentBased on the most recent information from CMS, provider Univeristy 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 ID1790945467Provider TypeOrganizationFull NameUniveristy Of California San Diego Medical CenterSubpartNoEnumeration Date6/16/2008Last Updated6/16/2008Contact InformationPractice LocationPractice Address200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103-9001Phone(888) 309-8273Fax(619) 543-3183Mailing LocationMailing Address9500 Gilman Dr, Ucsd Mc0726, La Jolla, CA 92093-5004Phone(858) 822-6583Fax(858) 822-6444Authorized OfficialNameGo, William Yan (Physician)Phone(858) 822-6583Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseA101688CaliforniaCode261QM2500XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseA101688California