NPI | 1629061882 |
---|---|
Other Name | REGENTS/UCDPBG/OPHTHALMO |
Entity Type | Organization |
Authorized Contact | TAMMY TROVATTEN Vice President, Gov't Reimbursement 916-855-2315 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2005-08-23 |
Last Update Date | 2025-05-16 |