| NPI | 1184617102 |
|---|---|
| Other Name | REGENTS UCDPBG DERMATOLO |
| Entity Type | Organization |
| Authorized Contact | TAMMY TROVATTEN Vice President, Gov't Reimbursement 916-855-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-05-16 |