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Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CERYES (MEDICAL STAFF COORDINATOR)
(415) 353-1849
Entity
Organization
Contact information
Practice address
1701 DIVISADERO ST STE 500, UCSF MT. ZION GENERAL MEDICINE CLINIC, SAN FRANCISCO, CA 94115-3011
(415) 353-7930
(415) 353-7932
Mailing address
1701 DIVISADERO ST STE 500, UCSF MT. ZION GENERAL MEDICINE CLINIC, SAN FRANCISCO, CA 94115-3011
(415) 353-7930
(415) 353-7932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPL151760
—
CA
Enumeration date
09/14/2006
Last updated
08/22/2020
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