Healthcare Provider Details

I. General information

NPI: 1184452880
Provider Name (Legal Business Name): UCSF HEALTH MEDICAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UBCP LAUREL HEIGHTS PEDIATRICS AND ADOLESCENT CARE 3838 CALIFORNIA STREET SUITE 111
SAN FRANCISCO CA
94118
US

IV. Provider business mailing address

6425 CHRISTIE AVE SUITE 220
EMERYVILLE CA
94608
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-6476
  • Fax: 415-221-3903
Mailing address:
  • Phone: 415-476-4977
  • Fax: 415-353-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. YINA R ALVAREZ
Title or Position: SR. DIRECTOR OF OPERATIONS
Credential:
Phone: 415-476-4969