Wei Lee Wan (NPI# 1558414193, PAC ID# 0648169599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1558414193 |
| PAC ID by PECOS | 0648169599 |
| Professional Enrollment ID | I20110510000245 |
| Full Name | Wei Lee Wan |
| Organization Legal Name | COASTAL EYE SPECIALISTS MEDICAL GROUP INC |
| Address |
1700 N Rose Ave Suite 200 Oxnard CA 93030-3791 |
| Phone Number | 8059830700 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7911896865 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050082 | ST JOHNS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 N Rose Ave, Suite 200, Oxnard, CA 93030-3791 | 8059830700 | COASTAL EYE SPECIALISTS MEDICAL GROUP INC |
| Organization Legal Name | COASTAL EYE SPECIALISTS MEDICAL GROUP INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisha Caye Wan | Optometry | Coastal Eye Specialists Medical Group Inc | 1700 N Rose Ave, Suite 200, Oxnard, CA 93030-3791 |
| Mary Meiya Liao | Optometry | Coastal Eye Specialists Medical Group Inc | 1700 N Rose Ave, Suite 200, Oxnard, CA 93030-3791 |
| Ruth Marquez | Optometry | Coastal Eye Specialists Medical Group Inc | 1700 N Rose Ave, Oxnard, CA 93030-3791 |
| Street Address |
1700 N ROSE AVE SUITE 200 |
| City | OXNARD |
| State | CA |
| Zip | 93030-3791 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Mccarty | General Surgery | General Surgery Medical Group of Ventura County | 1700 N Rose Ave, Suite 430, Oxnard, CA 93030-3793 |
| Glen Abergel | Infectious Disease | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 220, Oxnard, CA 93030-7640 |
| Robert C Streeter Iv | Family Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 |
| Bora Kim | Internal Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Kristin Anne Nurre | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Chirag J Dalsania | Hematology/oncology | Pmk Medical Group, Inc. | 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 |
| Sicen He | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 |
| Elvin M Park | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Koji Kubo | Family Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Sarah Marie Abraham | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 220, Oxnard, CA 93030-7640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelene A Craft-maynor | Occupational Therapy | 1701 Solar Dr, Suite 195, Oxnard, CA 93030-0134 | |
| John A Huebner | Physician Assistant | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| James P Sutton | Neurology | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Rachel Casas | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Erin Nicole Waite | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Steven A Rogers | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Larry Brown | Physical Therapy | 1701 Solar Dr, Suite 155, Oxnard, CA 93030-0139 | |
| David G Musgrove | Physical Therapy | 1701 Solar Dr, Oxnard, CA 93030-0139 | |
| Adrienne Lara | Obstetrics/gynecology | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-0147 | |
| Yuly Gorodisky | Plastic and Reconstructive Surgery | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-0147 | |
| Find all physicians in zip 93030 | |||
| City | OXNARD |
| Zip Code | 93030 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OXNARD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Wei Lee 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.