| Uc Davis Medical Group | |
|
7551 Madison Ave Citrus Heights CA 95610-7449 | |
| (916) 904-3000 | |
| Not Available |
| Full Name | Uc Davis Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7551 Madison Ave, Citrus Heights, 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 |
|---|---|
| Uc Davis Medical Group 10850 White Rock Rd Rancho Cordova CA 95670-6044 Ph: (916) 734-9255 | Uc Davis Medical Group 7551 Madison Ave Citrus Heights CA 95610-7449 Ph: (916) 904-3000 |
| NPI Number | 1215917810 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215917810 | NPI | - | NPPES |
| GRE001374 | Medicaid | CA | |
| GR006392C | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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