# REGENTS OF THE UNIV OF CA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regents UCDPBG Microbio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053304071
- **Authorized official:** TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
- **Authorized official phone:** (916) 855-2315

## Contact information

- **Practice address:** 3146 TUPPER HALL, DAVIS, CA 95616
- **Practice address phone:** (530) 752-9402
- **Mailing address:** 10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
- **Mailing address phone:** (916) 734-9200
- **Mailing address fax:** (916) 734-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZM0300X | Medical Microbiology Physician | — | NULL | Yes |
| 207ZM0300X | Medical Microbiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 05/16/2025
