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Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN VORIS (ASSOCIATE DEAN)
(559) 499-6427
Entity
Organization
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6440
(559) 499-6441
Mailing address
155 N. FRESNO STREET, FRESNO, CA 93701
(559) 499-6440
(559) 499-6441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0091020
MEDI-CAL
CA
Enumeration date
12/11/2008
Last updated
12/11/2008
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