Wan, Stephen
Wan, Stephen is an sole proprietor health care provider with primary practice located at 3400 Lomita Blvd Ste 403 , Torrance CA 90505-4930. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wan, Stephen can be contacted via phone (310) 326-8551.Contact Information
Primary practice address
3400 Lomita Blvd Ste 403
Torrance CA 90505-4930
Phone: (310) 326-8551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2026 | California |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | E2026 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E2026 | California |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E2026 | California |
Profile Details
| NPI number | 1396874061 |
|---|---|
| LBN Legal business name | Wan, Stephen |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 19th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396874061 | NPPES |
| California | MEDICAID | ZZZ28311Z |
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