Organization
UC DAVIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASSANEE - VISIS M.D. (RADIOLOGIST)
(916) 734-5704
Entity
Organization
Contact information
Practice address
4860 Y ST, SUITE 3100, SACRAMENTO, CA 95817-2307
(916) 734-5704
(916) 734-8490
Mailing address
1114 HARVARD DR, DAVIS, CA 95616-1709
(530) 759-8671
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
57022
MA
Other
Enumeration date
10/28/2005
Last updated
09/06/2023
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