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Organization

UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER

Active
Other names
UCSF Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
JED SHIVERS (COO)
(415) 476-4003
Entity
Organization

Contact information

Practice address
400 PARNASSUS AVE, MCB 300, SAN FRANCISCO, CA 94143-2202
(415) 353-7800
(415) 353-7870
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
207N00000X
Dermatology Physician
Primary
220000091
CA
207ND0900X
Dermatopathology Physician
220000091
CA
207NP0225X
Pediatric Dermatology Physician
220000091
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR008429M
CA
Enumeration date
11/03/2006
Last updated
04/15/2025
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