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Michael Wan, M.d., Inc
Medical Specialty Clinic/Center in Fountain Valley, California
NPI 1962755702

Michael Wan, M.d., Inc is a Medical Specialty Clinic/Center based in Fountain Valley, CA and is specialized in Medical Specialty. Michael Wan, M.d., Inc practices in Fountain Valley, CA. The NPI Number for Michael Wan, M.d., Inc is 1962755702 and holds a License No. A36431 (California).

The current practice location address for Michael Wan, M.d., Inc is 11100 Warner Ave, Fountain Valley, CA and can be reached out via phone at 714-546-6600 and via fax at 714-546-6608.

Location: 11100 Warner Ave, Fountain Valley, CA, 92708-7506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962755702
Provider Name
Michael Wan, M.d., Inc
Credential
Provider Entity Type
Organization
Address
11100 Warner Ave, Fountain Valley, CA, 92708-7506
Phone Number
714-546-6600
Fax Number
714-546-6608
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11100 Warner Ave
City
Fountain Valley
State
California
Zip
92708-7506
Phone Number
714-546-6600
Fax Number
714-546-6608
person
Provider Business Mailing Address Details
Address
11100 Warner Ave
City
Fountain Valley
State
California
Zip
92708-7506
Phone Number
714-546-6600
Fax Number
714-546-6608
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A36431 (California)
Definition
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).
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