Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A102389 | CA |
NPI | 1114180858 |
---|---|
Provider Name | Dr. Brian J Jian |
First Address | San Francisco, CA 94143-0112 |
Second Address | San Francisco, CA 94143-0112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 11/02/2022 |