Provider Demographics
NPI:1831491976
Name:UCSF PEDIATRICS
Entity Type:Organization
Organization Name:UCSF PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC RESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOWSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-289-7506
Mailing Address - Street 1:9263 N SAYBROOK DR APT 225
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0823
Mailing Address - Country:US
Mailing Address - Phone:559-289-7506
Mailing Address - Fax:
Practice Address - Street 1:9263 N SAYBROOK DR APT 225
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0823
Practice Address - Country:US
Practice Address - Phone:559-289-7506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren