NPI 1497732234

U.C. Davis Medical Center

Organisation Orthotist Sacramento, CA

Practice location

Address: 2315 Stockton Blvd, Sacramento, CA 95817-2201
Phone: (916) 734-7045
Mailing address: 4961 Priscilla Ln, Sacramento, CA 95820-6123

Authorised official

Name: Peter D. Santiago
Title: Chief Orthotist
Phone: (916) 734-7045

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1497732234
Entity type: Organization
NPI issued: 22 Dec 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.