| Ucsf Sfgh Medical Group Dept Of Neurology | |
|
1001 Potrero Ave Bldg 1 Rm 117 San Francisco CA 94110-3518 | |
| (628) 206-6182 | |
| (415) 206-4055 |
| Full Name | Ucsf Sfgh Medical Group Dept Of Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1001 Potrero Ave, San Francisco, California |
| Authorized Official Name and Position | Grace Fernandez (DIRECTOR UCSF SFGH CPG BUSINESS) |
| Authorized Official Contact | 4152068969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Sfgh Medical Group Dept Of Neurology Po Box 743749 Los Angeles CA 90074-3749 Ph: (415) 514-3000 | Ucsf Sfgh Medical Group Dept Of Neurology 1001 Potrero Ave Bldg 1 Rm 117 San Francisco CA 94110-3518 Ph: (628) 206-6182 |
| NPI Number | 1912972027 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912972027 | NPI | - | NPPES |
| GR0024313 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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