Individual
SU JIN JOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 4TH ST FL 6, SAN FRANCISCO, CA 94143-2350
(415) 353-2813
Mailing address
1825 4TH ST FL 6, SAN FRANCISCO, CA 94143-2350
(415) 353-2813
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
35.135197
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A181978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323465
—
OH
01
—
H657260
CGS-MEDICARE
OH
Enumeration date
08/19/2011
Last updated
12/02/2022
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