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NPI 1114104429

NPI 1114104429 : UCSF MEDICAL GROUP BUSINESS SERVICES : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1114104429
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    Entity Type          |    Organization 
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    Legal Business Name  |    UCSF MEDICAL GROUP BUSINESS SERVICES 
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Dates
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    Enumeration Date     |    01/29/2008
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    Last Update Date     |    04/15/2025
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Provider Practice Location Address
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    Address Line         |    505 PARNASSUS AVE 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94143-2204
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    Country              |    US
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    Telephone            |    415-476-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1635 DIVISADERO ST SUITE 625, BOX 1821
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94143-0001
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    Country              |    US
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    Telephone            |    415-476-4029
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    Fax                  |    
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Authorized Official
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    Title or Position    |    INTERIM VICE DEAN, ADMINISTRATION
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    Name                 |    MR. DAVID  REIN 
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    Credential           |    
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    Telephone            |    415-476-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085N0904X
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    Taxonomy Name        |    Nuclear Radiology Physician
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    License Number       |    220000091
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    220000091
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    2085U0001X
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    Taxonomy Name        |    Diagnostic Ultrasound Physician
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    License Number       |    220000091
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    220000091
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    License Number State |    CA
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