Organization
UCSF GENOMIC MEDICINE LABORATORY
Active
Parent organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Authorized official
JESSICA VAN ZIFFLE PHD, FACMG (LABORATORY DIRECTOR)
(415) 502-0747
Entity
Organization
Contact information
Practice address
513 PARNASSUS AVENUE, HSW901A, HSW901A, SAN FRANCISCO, CA 94143-0793
(415) 502-3560
(415) 476-2956
Mailing address
513 PARNASSUS AVE, S965, BOX 0794, SAN FRANCISCO, CA 94143-0794
(415) 502-3560
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2080584
CA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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