Healthcare Provider Details

I. General information

NPI: 1265992457
Provider Name (Legal Business Name): AMANDINE GODIER-FURNEMONT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PORTRERO AVE
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

UCSF DEPARTMENT OF SURGERY 513 PARNASSUS AVE, S321
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA179219
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: