Individual
KWUN WAH WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, RM M-559, SAN FRANCISCO, CA 94143-2204
(215) 662-2200
Mailing address
505 PARNASSUS AVE, RM M-559, SAN FRANCISCO, CA 94143-2204
(215) 662-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201112
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A136853
CA
Other
Enumeration date
05/09/2012
Last updated
05/19/2021
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