Basic Information
| Provider Information | |||||||||
| NPI: | 1528274453 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UCSF MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 795 8TH AVE | ||||||||
| Address2: | APT 501 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941183768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152698930 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1001 POTRERO AVE | ||||||||
| Address2: | 3C38 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941103518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152068163 | ||||||||
| FaxNumber: | 4152066014 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2007 | ||||||||
| LastUpdateDate: | 06/15/2008 | ||||||||
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| AuthorizedOfficialLastName: | DELANE | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER OF CREDENTIALING | ||||||||
| AuthorizedOfficialTelephone: | 4154764029 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A92075 | CA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.