Provider First Line Business Practice Location Address: 
505 PARNASSUS AVE
    Provider Second Line Business Practice Location Address: 
UCSF, 505 PARNASSUS AVE
    Provider Business Practice Location Address City Name: 
SAN FRANCISCO
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
94143-2204
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
415-476-2554
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/27/2007