| Regents Ucdmg Capitol | |
|
2000 O St Ste 210 Sacramento CA 95811-5224 | |
| (916) 442-1011 | |
| Not Available |
| Full Name | Regents Ucdmg Capitol |
|---|---|
| Speciality | Clinic/center |
| Location | 2000 O St, Sacramento, California |
| Authorized Official Name and Position | Allen D Hall (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9167348203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Ucdmg Capitol 10850 White Rock Rd Rancho Cordova CA 95670-6044 Ph: (916) 734-9654 | Regents Ucdmg Capitol 2000 O St Ste 210 Sacramento CA 95811-5224 Ph: (916) 442-1011 |
| NPI Number | 1124008719 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124008719 | NPI | - | NPPES |
| GR006392A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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