| 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 | () | Primary |
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