Joo, Su Jin

Joo, Su Jin is an sole proprietor health care provider with primary practice located at 1825 4Th St Fl 6 , San Francisco CA 94143-2350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Joo, Su Jin can be contacted via phone (415) 353-2813.

Contact Information

Primary practice address
1825 4Th St Fl 6 San Francisco CA 94143-2350
Phone: (415) 353-2813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 35.135197 Ohio
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X A181978 California

Profile Details

NPI number 1811277916
LBN Legal business name Joo, Su Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2011
Last updated Dec 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811277916 NPPES
Ohio Other H657260 CGS-MEDICARE
Ohio MEDICAID 0323465 CGS-MEDICARE

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