Basic Information
| Provider Information | |||||||||
| NPI: | 1649462680 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UCSF - DEPARTMENT OF ANESTHESIA PAIN MANAGEMENT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 521 PARNASSUS AVE | ||||||||
| Address2: | ROOM C 450 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941430648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154762131 | ||||||||
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| Practice Location | |||||||||
| Address1: | 521 PARNASSUS AVE | ||||||||
| Address2: | ROOM C 450 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941430648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154762131 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 08/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | WITTMANN | ||||||||
| AuthorizedOfficialFirstName: | MARIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | VISITING ASSISTANT PROFESSOR | ||||||||
| AuthorizedOfficialTelephone: | 010491754147011 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.