Organization
JINMEI WOAN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINMEI WOAN MD (PRESIDENT OF CORPORATION)
(209) 833-0268
Entity
Organization
Contact information
Practice address
530 W EATON AVE, SUITE M, TRACY, CA 95376-3400
(209) 833-0268
(209) 833-7880
Mailing address
PO BOX 1955, TRACY, CA 95378-1955
(209) 833-0268
(209) 833-7880
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G69222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G692220
MEDICARE PROVIDER ID
CA
05
—
00G692221
—
CA
Enumeration date
06/10/2006
Last updated
10/21/2016
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