Organization
UNIVERSAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SAM DAVIDSON M.D. (OWNER)
(209) 751-7165
Entity
Organization
Contact information
Practice address
1472 B ST STE A, LIVINGSTON, CA 95334-1413
(209) 751-7165
(209) 751-7165
Mailing address
262 BURGENLAND AVE, TURLOCK, CA 95382-0343
(209) 751-7165
(209) 579-2354
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G66389
CA
Other
Enumeration date
12/03/2007
Last updated
11/01/2011
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