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Organization

UNIVERSITY OF CALIFORNIA, DAVIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MICHAEL ASMUTH M.D. (ASSISTANT PROFESSOR OF CLINICAL MED)
(916) 734-8695
Entity
Organization

Contact information

Practice address
4150 V ST, PSSB G500, SACRAMENTO, CA 95817-1460
(916) 734-8695
(916) 734-7766
Mailing address
5709 THAMES WAY, CARMICHAEL, CA 95608-5556
(916) 487-9317

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
00G865750
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G865750
MEDI-CAL
CA
Enumeration date
12/02/2005
Last updated
06/20/2008
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