Healthcare Provider Details

I. General information

NPI: 1104453687
Provider Name (Legal Business Name): CLARE ELISABETH HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO 550-16TH STREET, MISSION HALL, 4TH FLOOR
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO 550-16TH STREET, MISSION HALL, 4TH FLOOR
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5001
  • Fax:
Mailing address:
  • Phone: 415-476-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberPTL3439
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: