Organization · Type 2 NPI

Michael Wan, M.d., Inc

Medical Specialty Clinic/Center · Fountain Valley, CA

NPI number 1962755702 Active

Practice location

11100 Warner Ave, Suite 150B
Fountain Valley, CA 92708-7506

Fax (714) 546-6608

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA36431 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

77 other providers at this address

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About NPI 1962755702

Michael Wan, M.d., Inc's National Provider Identifier is 1962755702, issued on Oct 17, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fountain Valley, CA. The record was last updated on Oct 17, 2012.