# UCSF MEDICAL CENTER

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

## Provider details

- **NPI number:** 1790905156
- **Authorized official:** TEH L LEE NP (NURSE PRACTITIONER)
- **Authorized official phone:** (415) 420-7572

## Contact information

- **Practice address:** SAN QUENTIN STATE PRISON, SAN QUENTIN, CA 94964
- **Practice address phone:** (415) 454-1460
- **Mailing address:** 1689 19TH AVE, SAN FRANCISCO, CA 94122-4517
- **Mailing address phone:** (415) 420-7572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | NP12252 | CA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 12/04/2007