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NPI Code Detail

MEDICARE: UCSF DERMATOPATHOLOGY SERVICE

MEDICARE: UCSF DERMATOPATHOLOGY SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0106XOral and Maxillofacial Pathology Dentistry
2291U00000XClinical Medical Laboratory
3207ND0900XDermatopathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235191305
Entity Type Code : Organization
Provider Name (Legal Business Name) : UCSF DERMATOPATHOLOGY SERVICE
Provider Business Mailing Address
First Line : 1701 DIVISADERO ST, STE 280
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3011
Country : US
Telephone Number : 800-497-0244
Fax Number : 415-353-7543
Provider Business Practice Location Address
First Line : 1701 DIVISADERO ST
Second Line : SUITE 280
City : SAN FRANCISCO
State : CA
Zip : 94115-3011
Country : US
Telephone Number : 800-497-0244
Fax Number : 415-353-7553
Authorized Official
Title or Position : LABORATORY DIRECTOR
Name : DR. TIMOTHY H MCCALMONT
Credential : MD
Telephone Number : 415-353-7550
Provider Enumeration Date : 04/04/2006
Last Update Date : 10/04/2018

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Directions to “UCSF DERMATOPATHOLOGY SERVICE ” Practice Location

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