Provider Demographics
NPI:1306088356
Name:UNIVERSITY OF SAN FRANCISCO
Entity type:Organization
Organization Name:UNIVERSITY OF SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VISITING ASSISTANT PROFESSOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALVERSCHEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-469-0579
Mailing Address - Street 1:2000 BROADWAY ST
Mailing Address - Street 2:APT 316
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1581
Mailing Address - Country:US
Mailing Address - Phone:757-469-0579
Mailing Address - Fax:
Practice Address - Street 1:521 PARNASSUS AVE
Practice Address - Street 2:C-450
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2206
Practice Address - Country:US
Practice Address - Phone:415-476-9054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF5530282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital