Individual
DR. WERNER W. JU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13847 E 14TH ST STE 218, SAN LEANDRO, CA 94578
(510) 483-0312
Mailing address
6399 SAN IGNACIO AVE STE 120, SAN JOSE, CA 95119-1215
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G42898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G428980
MEDI-CAL
CA
01
—
05D0596816
CLIA-SAN MATEO
CA
01
—
05D0600577
CLIA- SAN LEANDRO
CA
01
—
070002127
RAILROAD MEDICARE-SL
AR
01
—
070014445
RAILROAD MEDICARE-SM
CA
01
—
G42898
STATE LICENSE #
CA
Enumeration date
06/24/2006
Last updated
03/07/2023
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