Individual
MOONJOO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(973) 634-1023
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(215) 634-1023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199395
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
156570
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT199395
PA
Other
Enumeration date
05/16/2011
Last updated
10/12/2018
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