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UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI 1629550660


NPI Information

NPI: 1629550660
Provider Name: UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

Doing Business As: DEPARTMENT OF ADDICTION MEDICINE

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1001 POTRERO AVE RM 5H22
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 502-0661
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UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP is an addiction medicine internal medicine in San Francisco, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI is 1629550660. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Department Of Addiction Medicine.

The provider's business location address is:

1001 POTRERO AVE RM 5H22
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (415) 502-0661
Fax: (415) 476-6202

The provider's authorized official is Grace Fernandez .
The authorized official title is Cpg Director and has the following contact phone number (415) 476-8969.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 12/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineNo
2207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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