Dr. Jaesu Han, MD
Family Medicine in Sacramento, CA. Individual provider (NPI-1).
NPI number1104802149
StatusActive
Last updated in NPPESFeb 7, 2011
Details
- NPI
- 1104802149
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jaesu Han
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Feb 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A066813 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A066813 | CA |
Practice location
2230 Stockton BlvdSacramento, CA 95817-1419
Phone 916-734-2972
Mailing address
2230 Stockton BlvdSacramento, CA 95817-1419
Phone 916-734-2972
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