Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Wan, MD, Inc

Organization Medical Specialty Clinic/Center · NPI 1962755702

Michael Wan, MD, Inc is a Medical Specialty Clinic/Center in Fountain Valley, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11100 Warner Ave Ste 150B
Fountain Valley, CA 92708-7506
Phone: (714) 546-6600
Fax: (714) 546-6608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence A36431 (CA)

Record details

NPI number1962755702
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichael Wan, MD, Inc
Authorized official Michael Wan — President · (714) 546-6600
NPI enumeratedOctober 17, 2012
Last updated in NPPESOctober 17, 2012
Mailing address11100 Warner Ave, Suite 150b, Fountain Valley, CA 92708-7506

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