Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A77815 | CA |
NPI | 1639177355 |
---|---|
Provider Name | San San Win |
First Address | Daly City, CA 94015-1057 |
Second Address | San Francisco, CA 94133-3849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 14/12/2021 |