Provider Demographics
NPI:1285012690
Name:UCSF PEDIATRIC RHEUMATOLOGY DEPARTMENT
Entity Type:Organization
Organization Name:UCSF PEDIATRIC RHEUMATOLOGY DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:MERAV
Authorized Official - Middle Name:NA
Authorized Official - Last Name:HESHIN-BEKENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-502-0565
Mailing Address - Street 1:755 OHLONE AVE APT 788
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1967
Mailing Address - Country:US
Mailing Address - Phone:510-502-0565
Mailing Address - Fax:
Practice Address - Street 1:755 OHLONE AVE APT 788
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1967
Practice Address - Country:US
Practice Address - Phone:510-502-0565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2007457282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren