Provider Demographics
NPI:1700258654
Name:UCSF MEDICAL CENTER
Entity Type:Organization
Organization Name:UCSF MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MAURINE
Authorized Official - Last Name:COCO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-353-1984
Mailing Address - Street 1:400 PARNASSUS AVE # A-68
Mailing Address - Street 2:DEPARTMENT OF REHAB SERVICES
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2202
Mailing Address - Country:US
Mailing Address - Phone:415-353-1756
Mailing Address - Fax:415-353-8574
Practice Address - Street 1:400 PARNASSUS AVE # A-68
Practice Address - Street 2:DEPARTMENT OF REHAB SERVICES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-353-1756
Practice Address - Fax:415-353-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41008282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital