Basic Information
| Provider Information | |||||||||
| NPI: | 1619079464 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UCSD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3350 LA JOLLA VILLAGE DR | ||||||||
| Address2: | MAIL CODE 116-A | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8586421242 | ||||||||
| FaxNumber: | 8586426442 | ||||||||
| Practice Location | |||||||||
| Address1: | 3350 LA JOLLA VILLAGE DR | ||||||||
| Address2: | MAIL CODE 116-A | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8586421242 | ||||||||
| FaxNumber: | 8586426442 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 11/25/2008 | ||||||||
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| AuthorizedOfficialLastName: | ATKINSON | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
| AuthorizedOfficialMiddleName: | HAMPTON | ||||||||
| AuthorizedOfficialTitleorPosition: | PROFESSOR OF PSYCHIATRY | ||||||||
| AuthorizedOfficialTelephone: | 8585528585 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | A72106 | CA | Y | Hospital Units | Psychiatric Unit |
No ID Information.