Organization
REGENTS OF THE UNIVERSITY OF CA
Active
Other names
Regents UCDMG Auburn
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN D HALL (MEDICAL DIRECTOR)
(916) 734-8203
Entity
Organization
Contact information
Practice address
3111 PROFESSIONAL DR, AUBURN, CA 95603-2456
(530) 885-5618
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9654
(916) 736-1419
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0063920
—
CA
Enumeration date
01/19/2006
Last updated
10/09/2023
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