Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A91632 | CA |
NPI | 1033301833 |
---|---|
Provider Name | Dr. Jesse Qian |
First Address | Oakland, CA 94612-3429 |
Second Address | San Francisco, CA 94143-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 11/02/2022 |