| Regents Ucdmg - Ent Glassrock Bldg | |
|
2521 Stockton Blvd Ste. 5200 Sacramento CA 95817-2207 | |
| (916) 734-3628 | |
| Not Available |
| Full Name | Regents Ucdmg - Ent Glassrock Bldg |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2521 Stockton Blvd, 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 - Ent Glassrock Bldg 10850 White Rock Rd Ste 1200 Rancho Cordova CA 95670-6044 Ph: (916) 734-9654 | Regents Ucdmg - Ent Glassrock Bldg 2521 Stockton Blvd Ste. 5200 Sacramento CA 95817-2207 Ph: (916) 734-3628 |
| NPI Number | 1578728077 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578728077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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