Provider Demographics
NPI:1265702302
Name:UCSF
Entity type:Organization
Organization Name:UCSF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CTSI
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:BILL
Authorized Official - Last Name:BALKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-476-8127
Mailing Address - Street 1:505 PARNASSUS AVE, SUITE M1201
Mailing Address - Street 2:UCSF, CTSI
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0126
Mailing Address - Country:US
Mailing Address - Phone:415-476-4216
Mailing Address - Fax:415-476-0986
Practice Address - Street 1:505 PARNASSUS AVE, SUITE M1201
Practice Address - Street 2:UCSF, CTSI -
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0126
Practice Address - Country:US
Practice Address - Phone:415-476-4216
Practice Address - Fax:415-476-0986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch