Provider Demographics
NPI:1952449076
Name:UNIVERSITY OF CALIFORNIA
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL INSTRUTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YLAYALY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-514-9399
Mailing Address - Street 1:1991 CAMINO A LOS CERROS
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-5959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:533 PARNASSUS AVE
Practice Address - Street 2:BOX 0706
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2208
Practice Address - Country:US
Practice Address - Phone:415-476-2757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAA 88919282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren