Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Active
Other names
UCSF Surgical Group
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, MCB 300, SAN FRANCISCO, CA 94143-2202
(415) 353-2161
(415) 353-2505
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
208600000X
Surgery Physician
Primary
220000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008429P
—
CA
Enumeration date
11/02/2006
Last updated
06/13/2023
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