Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Parent organization
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Other names
UCSF Neurosurgery Med Grp
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
533 PARNASSUS AVE, U126, SAN FRANCISCO, CA 94122-2722
(415) 353-7500
(415) 353-2889
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
207T00000X
Neurological Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084290
—
CA
Enumeration date
11/08/2006
Last updated
08/03/2007
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