Organization
UC DAVIS HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER STEFANO NELLA (CLINICAL DIETITIAN II)
(707) 367-0763
Entity
Organization
Contact information
Practice address
2315 STOCKTON BLVD, SESP OP160, SACRAMENTO, CA 95817-2201
(916) 703-3118
Mailing address
2315 STOCKTON BLVD, SESP OP160, SACRAMENTO, CA 95817-2201
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
1034086
CA
284300000X
Special Hospital
Primary
1034086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034086
CADE (COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION)
CA
Enumeration date
04/29/2013
Last updated
04/29/2013
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