Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
U.C. Davis Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DOLL (CHIEF FINANCIAL OFFICER)
(916) 734-9446
Entity
Organization
Contact information
Practice address
4501 X ST RM 1008, SACRAMENTO, CA 95817-2229
(916) 734-5865
Mailing address
PO BOX 744719, LOS ANGELES, CA 90074-4719
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427396779
—
CA
01
—
5676791
NCPDP
—
01
—
PHE37804
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
01/31/2022
Last updated
05/16/2025
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