# UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSF SFGH MEDICAL GROUP, TOXICOLOGY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730434333
- **Authorized official:** GRACE FERNANDEZ (DIRECTOR)
- **Authorized official phone:** (415) 476-8969

## Contact information

- **Practice address:** 1001 POTRERO AVE, BLDG.5, RM 5G8, SAN FRANCISCO, CA 94110-3518
- **Practice address phone:** (415) 206-8686
- **Mailing address:** PO BOX 7464, SAN FRANCISCO, CA 94120-7464
- **Mailing address phone:** (415) 502-7648
- **Mailing address fax:** (415) 476-6202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | NULL | Yes |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 05/20/2025