Wan, Jennifer Jen-Wei

Wan, Jennifer Jen-Wei is an individual health care provider with primary practice located at 100 S San Mateo Dr , San Mateo CA 94401-3805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Wan, Jennifer Jen-Wei can be contacted via phone (650) 696-4515.

Contact Information

Primary practice address
100 S San Mateo Dr San Mateo CA 94401-3805
Phone: (650) 696-4515
Fax: (650) 696-4626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A128087 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A128087 California

Profile Details

NPI number 1356616544
LBN Legal business name Wan, Jennifer Jen-Wei
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 19th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356616544 NPPES
California MEDICAID 1356616544

Popular Providers