Organization
UC DAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KITTY OLIVIA OLMOS L.C.S.W. (CLINICAL SOCIAL WORKER)
(916) 734-8738
Entity
Organization
Contact information
Practice address
2521 STOCKTON BLVD STE 3200, SACRAMENTO, CA 95817-2207
(916) 734-0561
Mailing address
2521 STOCKTON BLVD STE 3200, SACRAMENTO, CA 95817-2207
(916) 734-0561
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LCS 22384
CA
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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