MICHAEL WAN, M.D., INC
NPI 1962755702
Clinic/Center - Medical Specialty in Fountain Valley, CA

Active since October 17, 2012
11100 WARNER AVE, SUITE 150B, FOUNTAIN VALLEY, CA 92708(714) 546-6600(714) 546-6608 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Wan, M.d., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WAN, M.D., INC (NPI 1962755702) is a healthcare organization registered as a medical specialty in Fountain Valley, California and active in the NPI registry since October 2012. The organization lists Michael Wan, President, as its authorized official.

NPPES Registry Identity

NPI1962755702
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMICHAEL WAN, M.D., INC
Location Address11100 WARNER AVE, SUITE 150BFountain Valley, CA 92708-7506
Mailing Address11100 Warner Ave, Suite 150bFountain Valley, CA 92708-7506 · (714) 546-6600 · Fax (714) 546-6608
Fax(714) 546-6608
Organization SubpartYesParent: Michael Wan, M.d.,inc.
Authorized OfficialMichael WanPresident · (714) 546-6600
Enumeration DateOctober 17, 2012
NPI 1962755702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in CA · A36431
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).
11100 WARNER AVE, Fountain Valley, CA 92708

Other Identifiers 1

Medicare UPINA28086CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 218
FOUNTAIN VALLEY, CA 92708
Family Medicine
11100 WARNER AVE, STE 100
FOUNTAIN VALLEY, CA 92708
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 212
FOUNTAIN VALLEY, CA 92708
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 218
FOUNTAIN VALLEY, CA 92708
Pharmacist (Pharmacotherapy)
11100 WARNER AVE, SUITE 318
FOUNTAIN VALLEY, CA 92708
Health Maintenance Organization
11100 WARNER AVE, SUITE 152
FOUNTAIN VALLEY, CA 92708
Pediatrics
11100 WARNER AVE, SUITE # 116
FOUNTAIN VALLEY, CA 92708
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 212
FOUNTAIN VALLEY, CA 92708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wan, M.D., Inc's NPI number?

The NPI number for Michael Wan, M.D., Inc is 1962755702. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Michael Wan, M.D., Inc located?

Michael Wan, M.D., Inc is located at 11100 Warner Ave Suite 150B, Fountain Valley, CA 92708. The listed phone number is (714) 546-6600.

What is Michael Wan, M.D., Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Michael Wan, M.D., Inc was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.