Basic Information
| Provider Information | |||||||||
| NPI: | 1134306194 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | UCSF | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 505 PARNASSUS | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941430648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154762131 | ||||||||
| FaxNumber: | 4154769516 | ||||||||
| Practice Location | |||||||||
| Address1: | 505 PARNASSUS | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941430648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154762131 | ||||||||
| FaxNumber: | 4154769516 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2008 | ||||||||
| LastUpdateDate: | 01/22/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MILLER | ||||||||
| AuthorizedOfficialFirstName: | RON | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | CHAIR OF THE DEPARTMENT | ||||||||
| AuthorizedOfficialTelephone: | 4154769035 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | PROF. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | F5435 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.