Provider Demographics
NPI:1992947410
Name:UNIVERSITY OF CALIFORNIA
Entity type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-476-6978
Mailing Address - Street 1:1701 DIVISADERO, BOX 0316
Mailing Address - Street 2:SUITE 340
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-476-6978
Mailing Address - Fax:415-476-0936
Practice Address - Street 1:1701 DIVISADERO ST
Practice Address - Street 2:SUITE 340
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-353-7888
Practice Address - Fax:415-885-7633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QM2500X261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA74296Medicare UPIN