Healthcare Provider Details

I. General information

NPI: 1851500573
Provider Name (Legal Business Name): HILLARY L COPP MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF DEPT OF UROLOGY 400 PARNASSUS AVE
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

UCSF DEPT OF UROLOGY 400 PARNASSUS AVE
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1611
  • Fax: 415-476-8849
Mailing address:
  • Phone: 415-476-1611
  • Fax: 415-476-8849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License NumberA99625
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: