| Ucsf Health - St. Mary's Hospital (psych) | |
|
450 Stanyan St San Francisco CA 94117-1019 | |
| (415) 668-1000 | |
| Not Available |
| Full Name | Ucsf Health - St. Mary's Hospital (psych) |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 450 Stanyan St, San Francisco, California |
| Authorized Official Name and Position | Fernando S. Moreno (CFO/DIRECTOR) |
| Authorized Official Contact | 4155146118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Health - St. Mary's Hospital (psych) Po Box 885904 Los Angeles CA 90088-5904 Ph: (415) 353-4739 | Ucsf Health - St. Mary's Hospital (psych) 450 Stanyan St San Francisco CA 94117-1019 Ph: (415) 668-1000 |
| NPI Number | 1932243003 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932243003 | NPI | - | NPPES |
| 721561126 | Other | IRS | |
| 01 | Other | KAISER | |
| HSM00457H | Medicaid | CA | |
| ZZZA3810Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 220000071 (California) | Primary |
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