Organization
REGENTS OF THE UNIV OF CA
Active
Other names
UC Davis Medical Center Orthotists and Prosthetists
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
(916) 855-2315
Entity
Organization
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-9200
(916) 734-9661
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000900
—
CA
Enumeration date
02/22/2007
Last updated
05/16/2025
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