Regents Ucdmg Specialties | |
2221 Stockton Blvd Sacramento CA 95817 | |
(916) 734-3556 | |
Not Available |
Full Name | Regents Ucdmg Specialties |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2221 Stockton Blvd, Sacramento, 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 Specialties 4900 Broadway Ste 1200 Sacramento CA 95820 Ph: (916) 734-9654 | Regents Ucdmg Specialties 2221 Stockton Blvd Sacramento CA 95817 Ph: (916) 734-3556 |
NPI Number | 1407836059 |
---|---|
Provider Enumeration Date | 01/19/2006 |
Last Update Date | 06/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407836059 | NPI | - | NPPES |
GRE001375 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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