Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | A106793 | CA |
NPI | 1003051780 |
---|---|
Provider Name | Dr. Wenwu Jin |
First Address | San Francisco, CA 94108-1500 |
Second Address | San Francisco, CA 94108-1556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2008 |
Last Update Date | 18/02/2020 |