Uc Davis
Chronic Disease Hospital, Children in Sacramento, CA. Organization (NPI-2).
NPI number1902881162
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1902881162
- Entity type
- Organization (NPI-2)
- Legal business name
- Uc Davis
- Organization subpart
- No
- Enumeration date
- Dec 9, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 281PC2000X | Chronic Disease Hospital, Children | G57949 | CA | Yes |
Practice location
4150 V St2100
Sacramento, CA 95817-1460
Phone 916-734-8583
Mailing address
4150 V St2100
Sacramento, CA 95817-1460
Phone 916-734-8583
Authorized official
Sharon Wilson
Assistant Professor
9167348583
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