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Contact Information

MICHAEL WAN, M.D., F.A.C.O.G.
11100 WARNER AVE
150B
FOUNTAIN VALLEY, CA92708-7506
 Phone: 714-546-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MICHAEL WAN, M.D., F.A.C.O.G.

NPI Number 1982651485
LBN Legal business name MICHAEL WAN, M.D., F.A.C.O.G.
Authorized official MICHAEL WAN - (OBSTETRICS AND GYNECOLOGY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # A36431
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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