Provider Demographics
NPI:1699579185
Name:GU, JEFFREY WENJIE (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:WENJIE
Last Name:GU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 PARNASSUS AVENUE, ROOM M798
Mailing Address - Street 2:PO BOX 0114, UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVENUE, ROOM M798
Practice Address - Street 2:PO BOX 0114, UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-353-2273
Practice Address - Fax:415-353-2898
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program