Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCDMC Pediatric Peritoneal Dialysis Home Training and Support
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
2521 STOCKTON BLVD STE 2200, SACRAMENTO, CA 95817-2207
(916) 734-2777
(916) 734-3234
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
05/16/2025
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