Individual
WEN-CHUN JIMMY LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
235 S PALISADE DR, SANTA MARIA, CA 93454
(805) 739-3961
Mailing address
235 S PALISADE DR, SANTA MARIA, CA 93454-5948
(805) 739-3561
(805) 739-3560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A92292
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A92292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A922920
—
CA
Enumeration date
11/13/2006
Last updated
11/02/2023
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