Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Active
Other names
UCSF Plastic Surgery 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) 502-4624
(415) 502-4767
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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008429K
—
CA
Enumeration date
11/17/2006
Last updated
08/22/2020
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