Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 61180 | CA |
NPI | 1083954663 |
---|---|
Provider Name | Dr. James K Han |
First Address | San Francisco, CA 94122-3201 |
Second Address | San Francisco, CA 94122-4463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2013 |
Last Update Date | 29/09/2015 |