# UNIVERSITY OF CALIFORNIA SAN FRANCISCO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548460306
- **Authorized official:** CHRISTINE MUDGE-GROUT NP (PNP PEDITATRIC TRANSPLANT CNV)
- **Authorized official phone:** (415) 476-5892

## Contact information

- **Practice address:** PEDIATRIC TRANSPLANT MU 4 EAST BOX 0136, 300 PARNASSUS, SAN FRANCISCO, CA 94143-0136
- **Practice address phone:** (415) 476-5892
- **Practice address fax:** (415) 476-1343
- **Mailing address:** PEDIATRIC TX MU 4 EAST BOX 0146 UCSF, SAN FRANCISCO, CA 94143-0001
- **Mailing address phone:** (415) 476-5892
- **Mailing address fax:** (415) 476-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 271565 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 07/20/2007