Individual
DR. JENNIFER JEAN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
168 N BRENT ST STE 508, VENTURA, CA 93003-2840
(805) 643-2375
(805) 643-3511
Mailing address
168 N BRENT ST STE 508, VENTURA, CA 93003-2840
(805) 643-2375
(805) 643-3511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A100066
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
63774
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A100066
CA
Other
Enumeration date
08/03/2008
Last updated
11/17/2025
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