Michael Wan, M.D., Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A36431 Issued in CA

Legal business name

MICHAEL WAN, M.D., INC

Practice address

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

Phone

(714) 546-6600

Fax

(714) 546-6608

NPI assigned

Oct 17, 2012

Organization subpart

Yes

Parent organization

MICHAEL WAN, M.D.,INC.As reported in NPPES

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

Authorized official

Name

Dr. Michael Wan, M.D.

Title

President

Phone

(714) 546-6600

Specialties & licenses 1

Addresses

Part of

Michael Wan MD Facog

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1962755702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 150B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-546-6600",
            "fax_number": "714-546-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 150B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-546-6600",
            "fax_number": "714-546-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WAN, M.D., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL WAN, M.D.,INC.",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-546-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A36431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H. Yee D.M.D. Inc
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• Michelle Dang Chiropractic Corporation
• Jack K Middlebrooks, MD
• Rufina Pamela Mae Tuyac Miel, MD
• Mike Hung Tran, M.D. Inc
• Mikio Tachibana, M.D., Inc

• Medical Specialty Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.