Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 11013297A | IN |
N | 111NI0900X | Internist | 11013297A | IN |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A116200 | CA |
NPI | 1104020312 |
---|---|
Provider Name | Wen Han |
First Address | Modesto, CA 95355-4201 |
Second Address | Modesto, CA 95355-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 01/08/2011 |