Organization
UC DAVIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE DAVIS PH.D. (HEAD SPEECH PATHOLOGIST)
(916) 734-6730
Entity
Organization
Contact information
Practice address
4860 Y ST, 1100, UC DAVIS MEDICAL CENTER, SACRAMENTO, CA 95817
(916) 734-6718
Mailing address
4057 ARAGON WAY, RANCHO CORDOVA, CA 95742-8005
(916) 734-6718
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
D2916188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00017962100
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
02/14/2012
Last updated
02/14/2012
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