Organization
UCDAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN TAYLOR RN (RN FACIAL PLASTICS)
(916) 734-2347
Entity
Organization
Contact information
Practice address
2521 STOCKTON BLVD, SACRAMENTO, CA 95867-0001
(916) 734-2347
Mailing address
6422 EMERALD DR, ROCKLIN, CA 95677-4732
(916) 624-7001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07962
UNIVERSITY PIN
CA
Enumeration date
02/02/2007
Last updated
08/22/2020
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