Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A138521 | CA |
NPI | 1043639040 |
---|---|
Provider Name | Karin Chingju Wu |
First Address | San Francisco, CA 94158-0004 |
Second Address | San Francisco, CA 94121-1563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2014 |
Last Update Date | 24/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
KW3232267556 | (05) | CA |