Basic Information
| Provider Information | |||||||||
| NPI: | 1568880607 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WOODBURY | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | HONG | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 521 PARNASSUS AVE FL 4 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154769035 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 521 PARNASSUS AVE FL 4 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154769035 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2014 | ||||||||
| LastUpdateDate: | 03/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | DR.0059800 | CO | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 18921 | NV | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.