Organization
REGENTS OF THE UNIVERSITY OF CA
Active
Organization
REGENTS OF THE UNIVERSITY OF CA
Active
Other names
Regents UCDMG - ENT Glassrock Bldg
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN D HALL (MEDICAL DIRECTOR)
(916) 734-8203
Entity
Organization
Contact information
Practice address
2521 STOCKTON BLVD, STE. 5200, SACRAMENTO, CA 95817-2207
(916) 734-3628
Mailing address
10850 WHITE ROCK RD STE 1200, RANCHO CORDOVA, CA 95670-6044
(916) 734-9654
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
10/09/2023
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