Healthcare Provider Details

I. General information

NPI: 1023151057
Provider Name (Legal Business Name): UCSF HEALTH COMMUNITY HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 08/26/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAN FRANCISCO INTERNATIONAL AIRPORT INTERNATIONAL TERMINAL, LEVEL 3, A SIDE, HWY 101
SAN FRANCISCO CA
94128-3128
US

IV. Provider business mailing address

PO BOX 885904
LOS ANGELES CA
90088-5904
US

V. Phone/Fax

Practice location:
  • Phone: 415-688-1000
  • Fax:
Mailing address:
  • Phone: 415-353-4739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number220000071
License Number StateCA

VIII. Authorized Official

Name: FERNANDO S. MORENO
Title or Position: CFO/DIRECTOR
Credential:
Phone: 415-514-6118