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General NPI Number Information
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NPI Number | 1760552343
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/16/2025
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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 | 94143-0120
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Country | US
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Telephone | 415-353-4624
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Fax | 415-353-2640
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Provider Business Mailing Address
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Address Line | 2001 THE EMBARCADERO STE 1500
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-5200
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Country | US
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Telephone | 415-885-7268
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Fax | 415-885-7445
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Authorized Official
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Title or Position | VICE PRESIDENT, MEDICAL STAFF GOV
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Name | KOSAL BO
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Credential |
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Telephone | 415-353-7235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism 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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 220000091
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License Number State | CA
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Taxonomy #12
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 220000091
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License Number State | CA
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