OrganizationUc San Diego Department Of AnesthesiologyGeneral Acute Care HospitalHospitalsPractice Address200 W Arbor Drive, #0801, Ucsd Dept Of Anesthesiology, San Diego, CA 92103(802) 324-1399PECOS EnrollmentBased on the most recent information from CMS, provider Uc San Diego Department Of Anesthesiology 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 ID1891017729Provider TypeOrganizationFull NameUc San Diego Department Of AnesthesiologySubpartNoEnumeration Date2/19/2010Last Updated7/11/2013Contact InformationPractice LocationPractice Address200 W Arbor Drive, #0801, Ucsd Dept Of Anesthesiology, San Diego, CA 92103Phone(802) 324-1399FaxUnlisted FaxMailing LocationMailing Address701 Kettner Blvd, Unit 202, San Diego, CA 92101-5908Phone(802) 324-1399FaxUnlisted FaxAuthorized OfficialNameManecke, Gerard (Physician)Phone(619) 471-0670Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseA117918CaliforniaCode282N00000XDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerArizona