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Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
VCPA/DVENT
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
5575 W LAS POSITAS BLVD STE 330, PLEASANTON, CA 94588-5804
(925) 734-3333
Mailing address
PO BOX 742244, LOS ANGELES, CA 90074-2244
(888) 924-1036
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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