Healthcare Provider Details

I. General information

NPI: 1083740765
Provider Name (Legal Business Name): BRADLEY JASON MONASH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF MEDICAL CENTER 450 STANYAN STREET
SAN FRANCISCO CA
94117
US

IV. Provider business mailing address

UCSF MEDICAL CENTER 450 STANYAN STREET
SAN FRANCISCO CA
94117
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5928
  • Fax:
Mailing address:
  • Phone: 415-476-5928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number236345
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number236345
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: