Organization
REGENTS OF THE UNIV OF CA
Active
Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents/UCD PBG/Neur Alzh
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H MCGOWAN (CFO)
(916) 734-9129
Entity
Organization
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-5496
(916) 456-9350
Mailing address
4900 BROADWAY, SUITE 2600, SACRAMENTO, CA 95820-1532
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI4127
RAILROAD MEDICARE PIN
CA
01
—
CN4400
RAILROAD MEDICARE PIN
CA
01
—
CN4844
RAILROAD MEDICARE PIN
CA
01
—
CR0028
RAILROAD MEDICARE PIN
CA
01
—
DA4168
RAILROAD MEDICARE PIN
CA
01
—
DE7275
RAILROAD MEDICARE PIN
CA
05
—
GNP000070
—
CA
05
—
GPS000040
—
CA
05
—
GRW021048
—
CA
Enumeration date
08/24/2005
Last updated
03/15/2008
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