Organization
UCSF MEDICAL GROUP BUSINESS SERVICES
Active
Other names
UCSF Otolaryngology Med Grp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHIVERS (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
350 PARNASSUS AVE, 210, SAN FRANCISCO, CA 94143-0001
(415) 353-2757
(415) 353-2603
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 353-2757
(415) 353-2603
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084293
—
CA
Enumeration date
11/07/2006
Last updated
09/11/2025
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