Provider Demographics
NPI:1285818112
Name:UNIVERSITY OF CALIFORNIA - SAN FRANCISCO
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA - SAN FRANCISCO
Other - Org Name:UCSF REGIONAL HEMOPHILIA CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-514-3432
Mailing Address - Street 1:505 PARNASSUS AVE
Mailing Address - Street 2:BOX 0110
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:415-514-2084
Mailing Address - Fax:415-514-0479
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:BOX 0106
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-502-7816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF CALIFORNIA - SAN FRANCISCO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-27
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZP3889ZMedicare PIN