Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Other names
UCSF Lakeside Senior Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
2501 OCEAN AVE, SAN FRANCISCO, CA 94143-0001
(415) 353-4900
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
CA
Other
Enumeration date
01/29/2007
Last updated
09/11/2025
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