Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UC Davis Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN D HALL (MEDICAL DIRECTOR)
(916) 734-8203
Entity
Organization
Contact information
Practice address
271 TURN PIKE DR, FOLSOM, CA 95630-8098
(916) 985-9350
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9255
(916) 451-8494
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081522
—
CA
Enumeration date
01/19/2006
Last updated
10/09/2023
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