Basic Information
| Provider Information | |||||||||
| NPI: | 1467747535 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY OF CALIFORNIA SAN FRANCISCO PEDIATRIC ENDOCRINOLOGY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 513 PARNASSUS AVE | ||||||||
| Address2: | UCSF BOX 0434 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941430434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153537337 | ||||||||
| FaxNumber: | 4154768214 | ||||||||
| Practice Location | |||||||||
| Address1: | 513 PARNASSUS AVE | ||||||||
| Address2: | UCSF BOX 0434 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941430434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153537337 | ||||||||
| FaxNumber: | 4154768214 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2011 | ||||||||
| LastUpdateDate: | 06/16/2011 | ||||||||
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| AuthorizedOfficialLastName: | ROSENTHAL | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PROFESSOR IN RESIDENCE | ||||||||
| AuthorizedOfficialTelephone: | 4153537337 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | 707640 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.