| Dignity Health Medical Network - Santa Cruz | |
|
3400 Data Dr Rancho Cordova CA 95670-7956 | |
| (888) 314-3627 | |
| Not Available |
| Full Name | Dignity Health Medical Network - Santa Cruz |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3400 Data Dr, Rancho Cordova, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Network - Santa Cruz 3400 Data Dr Rancho Cordova CA 95670-7956 Ph: (888) 314-3627 | Dignity Health Medical Network - Santa Cruz 3400 Data Dr Rancho Cordova CA 95670-7956 Ph: (888) 314-3627 |
| NPI Number | 1477074474 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477074474 | NPI | - | NPPES |
| 352567959 | Other | CA | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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