Provider Demographics
NPI:1154676914
Name:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF)
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIAC ELECTROPHYSIOLOGY FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-476-5706
Mailing Address - Street 1:UCSF DIVISION OF CARDIOLOGY
Mailing Address - Street 2:BOX 0124
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-5706
Mailing Address - Fax:415-476-6260
Practice Address - Street 1:UCSF DIVISION OF CARDIOLOGY
Practice Address - Street 2:BOX 0124
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-5706
Practice Address - Fax:415-476-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital