Lijun Wan, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A80359 Issued in CA

Practice address

1401 S Grand Ave
Los Angeles, CA 90015-3010

Phone

(213) 748-2411

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary Chinghuei Kao MD Inc

  • Anesthesiology Physician
  • Garden Grove, CA
  • NPI 1063647774
  NPD (past)
• Pacwest Anesthesia Medical Group, Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1518924075
  NPD (past)
• Portland Anesthesia Specialists LLC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1578877387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548213838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 DEVIRIAN PL",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014513",
            "telephone_number": "626-376-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153010",
            "telephone_number": "213-748-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "LIJUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A80359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A80359",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Waltz, D.O.
• Victor Waluch, M.D.
• Patrice Walz
• Sydney Walz
• Nancy Njeri Wambaa
• Ruihan Wan
• Tammy Wan, M.D.
• Jonathan Wanagat, MD PHD
• Wand Touch Corp
• Karen Wandell

• Anesthesiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.