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Organization
REGENTS OF THE UNIVERSITY OF CA DAVIS
Active
Organization
REGENTS OF THE UNIVERSITY OF CA DAVIS
Active
Other names
UC Davis Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP J RAIMONDI M.D. (CFO)
(916) 734-8193
Entity
Organization
Contact information
Practice address
4860 Y ST, SUITE 1700, SACRAMENTO, CA 95817-2307
(916) 734-6321
Mailing address
PO BOX 61000, SAN FRANCISCO, CA 94161-0001
(916) 734-9654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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