DR. MICHAEL QUON YIU WAN (NPI# 1720567977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720567977 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL QUON YIU WAN |
| Credential | PHARMD |
| Practice Address |
11051 Victory Blvd North Hollywood CA 91606-3719 |
| Mailing Address |
7124 Trask Ave Playa Del Rey CA 90293-7758 |
| Practice Telephone | 8184879351 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77367 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134580061 | Michael Wan | Pharmacist | 2456 S Grove Ave, Ontario, CA 91761-6224 | 2016-03-20 |
| 1750721684 | Michael Wan | Ophthalmology | 300 Longwood Ave, Fegan 4th Floor, Boston, MA 02115-5724 | 2013-06-25 |
| 1588628788 | Michael Wan | Obstetrics & Gynecology | 11100 Warner Ave, Suite 150b, Fountain Valley, CA 92708-7510 | 2006-04-14 |
| Street Address |
11051 VICTORY BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871676189 | Garfield Beach Cvs LLC | Pharmacy | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2006-10-23 |
| 1255978185 | Tyler Thomas | Pharmacist | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2019-12-10 |
| 1538703236 | Joshua Moises | Pharmacist | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2019-11-05 |
| 1215404983 | Teresa Nguyen | Pharmacist | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2018-10-30 |
| 1356770358 | Minh Nguyen | Pharmacist | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2013-11-11 |
| 1922395755 | Sandra Rabizadeh | Pharmacist | 11051 Victory Blvd, T-0294, North Hollywood, CA 91606-3719 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225597545 | Lia Martirosyan | Pharmacist | 8160 Rhodes Ave, North Hollywood, CA 91605-1341 | 2019-03-16 |
| 1215427653 | Alla Avetisyan-andranikyan | Pharmacist | 7124 Coldwater Canyon Ave, North Hollywood, CA 91605-7300 | 2018-05-10 |
| 1457862757 | Claudia Heather Myles | Pharmacist | 4420 Vineland Ave Ste 101, North Hollywood, CA 91602-2116 | 2017-10-13 |
| 1164942769 | Siamak Tehrani | Pharmacist | 6007 Lankershim Blvd Ste 7, North Hollywood, CA 91606-4883 | 2017-06-23 |
| 1386172963 | Nare Petoyan | Pharmacist | 11755 Victory Blvd Ste 100a, North Hollywood, CA 91606-3449 | 2017-05-26 |
| 1750828026 | Barbara S Choi | Pharmacist | 5250 Lankershim Blvd, 9th Floor, North Hollywood, CA 91601-3186 | 2017-01-25 |
| 1528493095 | Yudif Alieva | Pharmacist | 6841 Coldwater Canyon Ave, 14, North Hollywood, CA 91605-5141 | 2013-09-03 |
| 1205155306 | Patrick A Njaka | Pharmacist | 11350 Victory Blvd, North Hollywood, CA 91606-3631 | 2010-05-28 |
| 1407172471 | Hieu Thien Truong | Pharmacist | 13226 Cantara Street, North Hollywood, CA 91605 | 2010-04-15 |
| 1497805634 | Farhad Yassini | Pharmacist | 12922 A Victory Blvd, North Hollywood, CA 91606 | 2007-01-11 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on DR. MICHAEL QUON YIU WAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.