Organization
UC DAVIS HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MOORE (CHAIR)
(916) 734-5048
Entity
Organization
Contact information
Practice address
4150 V ST, 1200 PSSB, SACRAMENTO, CA 95817-1460
(916) 734-5311
Mailing address
4150 V ST, 1200 PSSB, SACRAMENTO, CA 95817-1460
(916) 734-5028
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
F5485
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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