Organization
UC DAVIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLUR MOGHADDAM M.D. (ASSISTANT PROFESSOR)
(916) 703-0413
Entity
Organization
Contact information
Practice address
2825 50TH ST, SACRAMENTO, CA 95817-2308
(916) 703-0413
(916) 703-0417
Mailing address
2825 50TH ST, SACRAMENTO, CA 95817-2308
(916) 703-0413
(916) 703-0417
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
A89124
CA
Other
Enumeration date
05/15/2006
Last updated
06/23/2008
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