Provider Demographics
NPI:1184942070
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:CHAIRMAN, DEPT OF CLINICAL PHARMACY
Authorized Official - Prefix:PROF
Authorized Official - First Name:B
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GUGLIELMO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:415-476-2352
Mailing Address - Street 1:521 PARNASSUS AVE
Mailing Address - Street 2:C-152, BOX 0622
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-476-0220
Mailing Address - Fax:415-476-6632
Practice Address - Street 1:521 PARNASSUS AVE
Practice Address - Street 2:C-152, BOX 0622
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-476-0220
Practice Address - Fax:415-476-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH51321261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center