Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1699053363 |
| LBN Legal business name | UC DAVIS CHILDREN'S HOSPITAL |
| Authorized official | ERIC VARGAS - (COMMUNITY HEALTH PROGRAM ASSISTANT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/29/2011 |
| Last updated | 07/29/2011 - About 15 years ago |
| Identifiers | n/a |
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| UC DAVIS MEDICAL CENTER 4860 Y ST SACRAMENTO, CA |
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