NPI | 1104815067 |
---|---|
Other Name | REGENTS UCDPBG PED |
Entity Type | Organization |
Authorized Contact | TAMMY TROVATTEN Vice President, Gov't Reimbursement 916-855-2315 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
Enumeration Date | 2005-10-13 |
Last Update Date | 2025-05-16 |