Organization
MICHAEL WAN, M.D., INC
Active
Parent organization
MICHAEL WAN, M.D.,INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL WAN, M.D.,INC.
Authorized official
DR. MICHAEL WAN M.D. (PRESIDENT)
(714) 546-6600
Entity
Organization
Contact information
Practice address
11100 WARNER AVE, SUITE 150B, FOUNTAIN VALLEY, CA 92708-7506
(714) 546-6600
(714) 546-6608
Mailing address
11100 WARNER AVE, SUITE 150B, FOUNTAIN VALLEY, CA 92708-7506
(714) 546-6600
(714) 546-6608
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A36431
CA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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