Regents Of The University Of California
Clinic/Center, Multi-Specialty in Roseville, CA. Organization (NPI-2).
NPI number1144200775
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1144200775
- Entity type
- Organization (NPI-2)
- Legal business name
- Regents Of The University Of California
- Organization subpart
- No
- Enumeration date
- Jan 19, 2006
- Certification date
- Oct 9, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Uc Davis Medical Group (Doing Business As)
Practice location
1620 E Roseville Pkwy Ste 200Roseville, CA 95661-3303
Phone 916-783-7109
Mailing address
10850 White Rock RdRancho Cordova, CA 95670-6044
Phone 916-734-9255 · Fax 916-451-8494
Authorized official
Allen D Hall
Medical Director
9167348203
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All 6 Multi-Specialty Clinic/Center providers in Roseville · All 6,478 providers in Roseville
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