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Organization

UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW SCOTT MILES MD (FELLOW)
(916) 734-3815
Entity
Organization

Contact information

Practice address
4150 V ST, PSSB, G500, SACRAMENTO, CA 95817-1460
(916) 734-3815
(916) 734-7766
Mailing address
3215 RYER ISLAND ST, W SACRAMENTO, CA 95691-5832
(916) 617-2673

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A82251
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A82251
CA STATE LICENSE
CA
Enumeration date
12/09/2005
Last updated
03/07/2023
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