| NPI | 1679644256 |
|---|---|
| Doing Business As | UCSF DERMATOLOGY MED GRP |
| Entity Type | Organization |
| Authorized Contact | JED SHIVERS COO 415-476-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 220000091) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA 220000091) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 220000091) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA 220000091) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |