| University Of California San Francisco Medical Center | |
|
1701 Divisadero St Ste 500 Ucsf Mt. Zion General Medicine Clinic San Francisco CA 94115-3011 | |
| (415) 353-7930 | |
| (415) 353-7932 |
| Full Name | University Of California San Francisco Medical Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1701 Divisadero St Ste 500, San Francisco, California |
| Authorized Official Name and Position | Deborah Ceryes (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 4153531849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of California San Francisco Medical Center 1701 Divisadero St Ste 500 Ucsf Mt. Zion General Medicine Clinic San Francisco CA 94115-3011 Ph: (415) 353-7930 | University Of California San Francisco Medical Center 1701 Divisadero St Ste 500 Ucsf Mt. Zion General Medicine Clinic San Francisco CA 94115-3011 Ph: (415) 353-7930 |
| NPI Number | 1205931078 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205931078 | NPI | - | NPPES |
| OPL151760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY16433 (California) | Primary |
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