Individual provider · Type 1 NPI

Jennifer Jen-Wei Wan, MD

Diagnostic Radiology Physician · San Mateo, CA

NPI number 1356616544 Active

Practice location

100 S San Mateo Dr
San Mateo, CA 94401-3805

Call (650) 696-4515 Map

Fax (650) 696-4626

Mailing address

PO Box 6102
Novato, CA 94948-6102

Other practice locations

  • 222 W 39th Ave, San Mateo, CA 94403-4364 · (650) 573-2222
  • 1501 Trousdale Dr, Burlingame, CA 94010-4506 · (650) 696-4515

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XA128087 (CA)
Diagnostic Radiology Physician Primary 2085R0202XA128087 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1356616544

Jennifer Jen-Wei Wan, MD's National Provider Identifier is 1356616544, issued on Mar 20, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Mateo, CA. The record was last updated on Mar 19, 2021.