Provider Demographics
NPI:1922282532
Name:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR/PEDIATRIC DENTISTRY CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DENBESTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:415-502-7828
Mailing Address - Street 1:513 PARNASSUS AVE.
Mailing Address - Street 2:ROOM S-704. P.O. BOX 0422
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0422
Mailing Address - Country:US
Mailing Address - Phone:415-476-5063
Mailing Address - Fax:415-476-4204
Practice Address - Street 1:707 PARNASSUS AVE.
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-476-3276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56084282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren