Provider Demographics
NPI:1639177355
Name:WIN, SAN SAN (MD)
Entity Type:Individual
Prefix:
First Name:SAN
Middle Name:SAN
Last Name:WIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 N MAYFAIR AVE
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1057
Mailing Address - Country:US
Mailing Address - Phone:650-756-2269
Mailing Address - Fax:650-756-2269
Practice Address - Street 1:1441 POWELL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-3849
Practice Address - Country:US
Practice Address - Phone:415-292-8650
Practice Address - Fax:415-292-8666
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-12-14
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Provider Licenses
StateLicense IDTaxonomies
CAA77815204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM