University Of Northern California

NPI 1295022556 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1295022556
Enumeration Date 07/06/2011
Last Updated 01/26/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name YOUNG KING YOUNG KING
Position PRESIDENT
Phone (707) 664-6365
Fax
Practice Location
1300 VALLEY HOUSE DR
SUITE 100-27
ROHNERT PARK CA, 94928-4927, US
Phone (707) 664-6365
Fax
Business Location
1300 VALLEY HOUSE DR
SUITE 100-27
ROHNERT PARK CA, 94928-4927, US
Phone (707) 664-6365
Fax
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number AC 737
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According to our database, University Of Northern California NPI is 1295022556, taxonomy code is 302R00000X and license number is AC 737, license state is located at California. University Of Northern California physically located at 1300 Valley House Dr, Rohnert Park CA, 94928-4927. NPI Number 1033115704 has the healthcare provider type.

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1295022556 NPI number is provided on an as is basis without warranty of any kind. 1295022556 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Northern California are for informational purposes only.