Provider Demographics
NPI:1841562352
Name:UCSF MEDICAL CENTER
Entity Type:Organization
Organization Name:UCSF MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESOUKY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACITIONER
Authorized Official - Phone:415-310-1248
Mailing Address - Street 1:1875 SACRAMENTO ST
Mailing Address - Street 2:APT 1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3565
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1875 SACRAMENTO ST
Practice Address - Street 2:APT 1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3565
Practice Address - Country:US
Practice Address - Phone:415-885-3882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18362282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital