Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Other names
UCSF Neurology Med Grp
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, A887, SAN FRANCISCO, CA 94143-2202
(415) 353-2273
(415) 353-2898
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
2084N0400X
Neurology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008428Z
—
CA
Enumeration date
11/06/2006
Last updated
08/22/2020
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