| University Of California Davis Medical Center | |
|
4501 X St Sacramento CA 95817-2229 | |
| (916) 734-8299 | |
| Not Available |
| Full Name | University Of California Davis Medical Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4501 X St, Sacramento, California |
| Authorized Official Name and Position | Ann Rice (CEO) |
| Authorized Official Contact | 9167342011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of California Davis Medical Center 1190 14th Ave Sacramento CA 95822-1108 Ph: () - | University Of California Davis Medical Center 4501 X St Sacramento CA 95817-2229 Ph: (916) 734-8299 |
| NPI Number | 1568504512 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568504512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 11590 (California) | Primary |
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