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Individual

JAEHOON SHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
505 PARNASSUS AVE # M391, SAN FRANCISCO, CA 94143-2204
(415) 476-1537
(415) 476-0616
Mailing address
505 PARNASSUS AVE # M391, SAN FRANCISCO, CA 94143-2204
(415) 476-1537
(415) 476-0616

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A157366
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A157366
CA

Other

Enumeration date
04/12/2016
Last updated
08/05/2022
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