Healthcare Provider Details

I. General information

NPI: 1205243763
Provider Name (Legal Business Name): GEORGE SHIN HAN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 VAN NESS AVE STE 500
SAN FRANCISCO CA
94102-6056
US

IV. Provider business mailing address

25 VAN NESS AVE STE 500
SAN FRANCISCO CA
94102-6056
US

V. Phone/Fax

Practice location:
  • Phone: 628-217-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number129937
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number129937
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: