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Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Other names
UCSF Family and Comm Med Grp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
400 PARNASSUS AVE, AC9, SAN FRANCISCO, CA 94122-2721
(415) 476-1000
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008428W
—
CA
Enumeration date
11/08/2006
Last updated
08/22/2020
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