Stephen C Wan (NPI# 1396874061, PAC ID# 0547370058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1396874061 |
| PAC ID by PECOS | 0547370058 |
| Professional Enrollment ID | I20111010000243 |
| Full Name | Stephen C Wan |
| Organization Legal Name | WEST TORRANCE PODIATRISTS GROUP, INC. |
| Address |
3400 Lomita Blvd Suite 403 Torrance CA 90505-4930 |
| Phone Number | 3103268551 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6103945266 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 | 3103268551 | WEST TORRANCE PODIATRISTS GROUP, INC. |
| Organization Legal Name | WEST TORRANCE PODIATRISTS GROUP, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Rafael Perez | Podiatry | West Torrance Podiatrists Group, Inc. | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5517 |
| Brian C Park | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Michael S Bloch | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Chul Kim | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Jeffrey Tseng | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Roland J Carroll Iii | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Street Address |
3400 LOMITA BLVD SUITE 403 |
| City | TORRANCE |
| State | CA |
| Zip | 90505-4930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Mccann | Obstetrics/gynecology | 3400 Lomita Blvd, Suite 301, Torrance, CA 90505-4971 | |
| Deepjot K Singh | Obstetrics/gynecology | 3400 Lomita Blvd, Suite 500, Torrance, CA 90505-4931 | |
| Ravin R Kumar | Colorectal Surgery (proctology) | 3400 Lomita Blvd, Suite 200, Torrance, CA 90505-4980 | |
| Ronald Rosso | Plastic and Reconstructive Surgery | 3400 Lomita Blvd, Suite 306, Torrance, CA 90505-4926 | |
| William K Averill | Cardiovascular Disease (cardiology) | 3400 Lomita Blvd, Suite 603, Torrance, CA 90505-4936 | |
| Brian C Park | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Ramin M Roohipour | General Surgery | 3400 Lomita Blvd, Suite 200, Torrance, CA 90505-4980 | |
| Michael S Bloch | Podiatry | West Torrance Podiatrists Group, Inc. | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4930 |
| Steven C Dresner | Ophthalmology | Eyesthetica | 3400 Lomita Blvd, Suite 401, Torrance, CA 90505-4928 |
| Nosrat Allah Nabavi | Neurosurgery | The Institute of Brain and Spine Surgery | 3400 Lomita Blvd, Suite 104, Torrance, CA 90505-4900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Tamayo | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| Linh H Tu | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| David A Bray Jr. | Otolaryngology | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-0660 | |
| Nhat H Tran | Physical Medicine and Rehabilitation | 3655 W Lomita Blvd, Suite 421, Torrance, CA 90505-1900 | |
| Tai Hon Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Thomas S Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Tatyana S Sarkisova | Family Medicine | 3655 Lomita Blvd, Suite 108, Torrance, CA 90505-1902 | |
| Gladys E Palomeno | Endocrinology | 3655 Lomita Blvd, Suite 100, Torrance, CA 90505-1905 | |
| Akihiro Mizuta | Family Medicine | 3655 Lomita Blvd, Suite 115, Torrance, CA 90505-1906 | |
| Pooya Lashkari | Podiatry | 3655 Lomita Blvd, Suite 120, Torrance, CA 90505-1907 | |
| Find all physicians in zip 90505 | |||
| City | TORRANCE |
| Zip Code | 90505 |
| Specialty | PODIATRY |
| City + Specialty | TORRANCE + PODIATRY |
Please comment or provide details below to improve the information on Stephen C Wan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.