Provider Demographics
NPI:1851625511
Name:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO CHILDREN'S HOSPITAL
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO CHILDREN'S HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM CHIEF PEDS HEME/ONC
Authorized Official - Prefix:
Authorized Official - First Name:MIGNON
Authorized Official - Middle Name:
Authorized Official - Last Name:LOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-476-3831
Mailing Address - Street 1:1975 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2351
Mailing Address - Country:US
Mailing Address - Phone:415-514-0238
Mailing Address - Fax:415-353-2657
Practice Address - Street 1:550 16TH ST # 434
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2549
Practice Address - Country:US
Practice Address - Phone:415-514-0238
Practice Address - Fax:415-353-2657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17143282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren