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Organization

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

Active
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Organization

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER N LEE (DIVISION ADMINISTRATOR)
(415) 502-4831
Entity
Organization

Contact information

Practice address
505 PARNASSUS AVE, SUITE M1291 MAILBOX 0126, SAN FRANCISCO, CA 94143-2204
(415) 476-4336
Mailing address
505 PARNASSUS AVE, SUITE M1291 MAILBOX 0126, SAN FRANCISCO, CA 94143-2204
(415) 476-4336

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
C23520
CA

Other

Enumeration date
11/09/2012
Last updated
11/09/2012
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