| Uc Davis Health System | |
|
2315 Stockton Blvd Sesp Op160 Sacramento CA 95817-2201 | |
| (916) 703-3118 | |
| Not Available |
| Full Name | Uc Davis Health System |
|---|---|
| Speciality | Special Hospital |
| Location | 2315 Stockton Blvd, Sacramento, California |
| Authorized Official Name and Position | Alexander Stefano Nella (CLINICAL DIETITIAN II) |
| Authorized Official Contact | 7073670763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Davis Health System 2315 Stockton Blvd Sesp Op160 Sacramento CA 95817-2201 Ph: () - | Uc Davis Health System 2315 Stockton Blvd Sesp Op160 Sacramento CA 95817-2201 Ph: (916) 703-3118 |
| NPI Number | 1033553425 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033553425 | NPI | - | NPPES |
| 1034086 | Other | CA | CADE (COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1034086 (California) | Secondary |
| 284300000X | Special Hospital | 1034086 (California) | Primary |
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