Organization
REGENTS OF THE UNIVERSITY OF CA
Active
Other names
Regents UCDPBG Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN D SIEFKIN MD (CMO)
(916) 734-1166
Entity
Organization
Contact information
Practice address
2221 STOCKTON BLVD, SACRAMENTO, CA 95817-1418
(916) 734-7313
(916) 734-2919
Mailing address
4900 BROADWAY, SUITE 2600, SACRAMENTO, CA 95820-1532
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI4127
RAILROAD MEDICARE PIN
CA
01
—
CN4400
RAILROAD MEDICARE PIN
CA
01
—
CN4844
RAILROAD MEDICARE PIN
CA
01
—
CR0028
RAILROAD MEDICARE PIN
CA
01
—
DA4168
RAILROAD MEDICARE PIN
CA
01
—
DE7275
RAILROAD MEDICARE PIN
CA
05
—
GNP000070
—
CA
05
—
GR0021048
—
CA
Enumeration date
08/24/2005
Last updated
05/16/2011
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