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

Vivian Ty Wan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659832251

Vivian Ty Wan, DO is a Student in an Organized Health Care Education/Training Program in Mountain View, California. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187
Phone: (650) 396-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 322276 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659832251
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address2495 Hospital Dr Ste 670, Mountain View, CA 94040-4187

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