Uc Davis Medical Center
Chronic Disease Hospital, Children in Sacramento, CA. Organization (NPI-2).
NPI number1366493124
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1366493124
- Entity type
- Organization (NPI-2)
- Legal business name
- Uc Davis Medical Center
- Organization subpart
- No
- Enumeration date
- May 15, 2006
- Last updated
- Jun 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 281PC2000X | Chronic Disease Hospital, Children | A89124 | CA | Yes |
Practice location
2825 50th StSacramento, CA 95817-2308
Phone 916-703-0413 · Fax 916-703-0417
Mailing address
2825 50th StSacramento, CA 95817-2308
Phone 916-703-0413 · Fax 916-703-0417
Authorized official
Billur Moghaddam
Assistant Professor
9167030413
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