Organization
MICHAEL WAN, M.D., F.A.C.O.G.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAN M.D. (OBSTETRICS AND GYNECOLOGY)
(714) 546-6600
Entity
Organization
Contact information
Practice address
11100 WARNER AVE, 150B, FOUNTAIN VALLEY, CA 92708-7506
(714) 546-6600
Mailing address
11100 WARNER AVE, 150B, FOUNTAIN VALLEY, CA 92708-7506
(714) 546-6600
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A36431
CA
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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