Basic Information
| Provider Information | |||||||||
| NPI: | 1306088356 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY OF SAN FRANCISCO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 BROADWAY ST | ||||||||
| Address2: | APT 316 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941151581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574690579 | ||||||||
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| Practice Location | |||||||||
| Address1: | 521 PARNASSUS AVE | ||||||||
| Address2: | C-450 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154769054 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2009 | ||||||||
| LastUpdateDate: | 04/06/2009 | ||||||||
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| AuthorizedOfficialLastName: | HALVERSCHEID | ||||||||
| AuthorizedOfficialFirstName: | LEONIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | VISITING ASSISTANT PROFESSOR | ||||||||
| AuthorizedOfficialTelephone: | 7574690579 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | F5530 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.