Healthcare Provider Details

I. General information

NPI: 1083172068
Provider Name (Legal Business Name): NAOMI MEI HAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 08/06/2023
Certification Date: 08/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 POST ST STE 420
SAN FRANCISCO CA
94115-3466
US

IV. Provider business mailing address

2330 POST ST STE 420
SAN FRANCISCO CA
94115-3466
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7886
  • Fax: 415-885-3650
Mailing address:
  • Phone: 415-885-7886
  • Fax: 415-885-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95008410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: