Provider Demographics
NPI:1588822944
Name:UCSF INTERNAL MEDICINE PROGRAM
Entity Type:Organization
Organization Name:UCSF INTERNAL MEDICINE PROGRAM
Other - Org Name:COMMUNITY REGIONAL MEDICAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESIDENCY COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-499-6479
Mailing Address - Street 1:155 N FRESNO ST
Mailing Address - Street 2:INTERNAL MEDICINE
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-2302
Mailing Address - Country:US
Mailing Address - Phone:559-499-6479
Mailing Address - Fax:
Practice Address - Street 1:155 N FRESNO ST
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2302
Practice Address - Country:US
Practice Address - Phone:559-499-6479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-01
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital