Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Regents UCDMG Rancho
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN D HALL (MEDICAL DIRECTOR)
(916) 734-8203
Entity
Organization
Contact information
Practice address
3201 DATA DRIVE, RANCHO CORDOVA, CA 95670-7374
(916) 635-4120
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9255
(916) 451-8494
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0063923
—
CA
Enumeration date
01/19/2006
Last updated
12/21/2023
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