Individual
JAY JEONG WOO VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
700 S FLOWER ST STE 2340, LOS ANGELES, CA 90017-4123
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028238
CA
Other
Enumeration date
05/20/2024
Last updated
03/14/2025
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