Provider Demographics
NPI:1396120721
Name:UCSF BENIOFF CHILDRENS HOSPITAL
Entity type:Organization
Organization Name:UCSF BENIOFF CHILDRENS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PERINATAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:VONBEHREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:415-353-1826
Mailing Address - Street 1:1975 4TH ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2351
Mailing Address - Country:US
Mailing Address - Phone:415-476-2188
Mailing Address - Fax:415-502-4867
Practice Address - Street 1:1975 4TH ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2351
Practice Address - Country:US
Practice Address - Phone:415-476-2188
Practice Address - Fax:415-502-4867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9510028282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren