| Regents Of The University Of California | |
|
505 Parnassus Ave San Francisco CA 94143-0120 | |
| (415) 353-2961 | |
| (415) 353-2568 |
| Full Name | Regents Of The University Of California |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 505 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | David Rein (INTERIM VICE DEAN, ADMINISTRATION) |
| Authorized Official Contact | 4154764003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The University Of California 1635 Divisadero St Suite 625, Box 1821 San Francisco CA 94143-0001 Ph: (415) 476-4029 | Regents Of The University Of California 505 Parnassus Ave San Francisco CA 94143-0120 Ph: (415) 353-2961 |
| NPI Number | 1033289608 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033289608 | NPI | - | NPPES |
| GR0084563 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 220000091 (California) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 220000091 (California) | Primary |
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