Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents UCDPBG Microbio
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
(916) 855-2315
Entity
Organization
Contact information
Practice address
3146 TUPPER HALL, DAVIS, CA 95616
(530) 752-9402
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9336
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002104C
—
CA
Enumeration date
08/24/2005
Last updated
05/16/2025
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