# UNIVERSITY OF CALIFORNIA, DAVIS HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891988473
- **Authorized official:** BUSTER F PORTER MS, PHYSICAL THERAPI (PHYSICAL THERAPIST)
- **Authorized official phone:** (916) 734-6700

## Contact information

- **Practice address:** 4860 Y ST STE 1100, SACRAMENTO, CA 95817-2307
- **Practice address phone:** (916) 734-6700
- **Mailing address:** 4860 Y ST STE 1100, SACRAMENTO, CA 95817-2307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PT17781 | CA | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 08/27/2007