| Jinmei Woan Md A Professional Corporation | |
|
530 W Eaton Ave Suite M Tracy CA 95376-3400 | |
| (209) 833-0268 | |
| (209) 833-7880 |
| Full Name | Jinmei Woan Md A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 530 W Eaton Ave, Tracy, California |
| Authorized Official Name and Position | Jinmei Woan (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 2098330268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jinmei Woan Md A Professional Corporation Po Box 1955 Tracy CA 95378-1955 Ph: (209) 833-0268 | Jinmei Woan Md A Professional Corporation 530 W Eaton Ave Suite M Tracy CA 95376-3400 Ph: (209) 833-0268 |
| NPI Number | 1831130574 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 0143367482 |
|---|---|
| Medicare Enrollment ID | O20091020000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831130574 | NPI | - | NPPES |
| 00G692220 | Other | CA | MEDICARE PROVIDER ID |
| 00G692221 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G69222 (California) | Primary |
| Provider Name | Jinmei Woan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093756835 PECOS PAC ID: 0446397780 Enrollment ID: I20091020000112 |
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