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UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI 1811475759


NPI Information

NPI: 1811475759
Provider Name: UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

Doing Business As: UCSF SFGH MEDICAL GROUP DEPT OF ORAL AND MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1001 POTRERO AVENUE, BLDG 5, ROOM 1N1
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 502-0661
Get Directions

UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP is an oral and maxillofacial surgery dentist in San Francisco, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP NPI is 1811475759. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery.

The provider's business location address is:

1001 POTRERO AVENUE, BLDG 5, ROOM 1N1
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (415) 502-0661
Fax: (415) 476-6206

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

The enumeration date for this NPI number is 8/2/2018 and was last updated on 8/2/2018.


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
1204E00000XOral & Maxillofacial SurgeryNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

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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