| Regents Ucdmg Auburn | |
|
10044 Wolf Rd #a Grass Valley CA 95949-8193 | |
| (530) 268-9050 | |
| Not Available |
| Full Name | Regents Ucdmg Auburn |
|---|---|
| Speciality | Clinic/center |
| Location | 10044 Wolf Rd, Grass Valley, California |
| Authorized Official Name and Position | Kurt J Slapnik (CFO) |
| Authorized Official Contact | 9167348203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Ucdmg Auburn 4900 Broadway Ste 1200 Sacramento CA 95820-1532 Ph: (916) 734-9654 | Regents Ucdmg Auburn 10044 Wolf Rd #a Grass Valley CA 95949-8193 Ph: (530) 268-9050 |
| NPI Number | 1194705731 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 06/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194705731 | NPI | - | NPPES |
| GR0063928 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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