Basic Information
| Provider Information | |||||||||
| NPI: | 1144544586 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UCSF DEPARTMENT OF PEDIATRICS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1105 SHRADER ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941174216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412312749 | ||||||||
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| Practice Location | |||||||||
| Address1: | 505 PARNASSUS AVE | ||||||||
| Address2: | UC SAN FRANCISCO, M691 BOX 0110 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154766245 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2010 | ||||||||
| LastUpdateDate: | 03/15/2010 | ||||||||
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| AuthorizedOfficialLastName: | RATTI | ||||||||
| AuthorizedOfficialFirstName: | CATHY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PEDIATRIC RESIDENCY PROGRAM MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4154766245 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | 193200000X MULTI-SPECIALTY GROUP | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.