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Organization
REGENTS OF THE UNIV OF CA
Active
Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents UCDPBG OCC Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H MCGOWAN (CFO)
(916) 734-9129
Entity
Organization
Contact information
Practice address
4900 BROADWAY, SUITE 2800, SACRAMENTO, CA 95817
(916) 734-9200
(916) 734-9336
Mailing address
4900 BROADWAY, SUITE 2800, SACRAMENTO, CA 95820
(916) 734-9200
(916) 734-9336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCT000500
—
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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