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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396874061 NPPES
California MEDICAID ZZZ28311Z

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