DERRICK C. WAN


Address: 200 Medical Plz, Suite 465, Los Angeles, CA 90095-0001
Phone: 3108255510

DERRICK C. WAN (NPI# 1053513473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053513473
Entity Type Individual
Full Name DERRICK C. WAN
Credential MD
Practice Address 200 Medical Plz
Suite 465
Los Angeles
CA 90095-0001
Mailing Address 5767 W Century Blvd
Suite 400
Los Angeles
CA 90045-5631
Practice Telephone 3108255510
Mailing Telephone 3108255510
Enumeration Date 2007-06-05
Last Update Date 2012-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery A83768 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A837680 05

Office Location

Street Address 200 MEDICAL PLZ
SUITE 465
City LOS ANGELES
State CA
Zip Code 90095-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790789287 Afshin Akhavan Safa Radiology 200 Medical Plz, Suite B265, Los Angeles, CA 90095-0001 2005-06-13
1700316239 Andrew Scott Pharmacy 200 Medical Plz, Los Angeles, CA 90095-0001 2017-06-18
1861943037 Rebecca Gebremichael Audiologist 200 Medical Plz, 540, Los Angeles, CA 90095-0001 2016-10-21
1649640707 Mehdi Mohamadnejad Internal Medicine 200 Medical Plz, Suite 365 C, Los Angeles, CA 90095-0001 2015-10-01
1154799542 Gerd Ken Herrmann Nuclear Medicine 200 Medical Plz, Suite B114, Los Angeles, CA 90095-0001 2015-09-02
1902291354 Miranda Westfall Dietitian, Registered 200 Medical Plz, Suite 265, Los Angeles, CA 90095-0001 2015-04-02
1508255191 Nicole Anne Schussel Speech-Language Pathologist 200 Medical Plz, Suite 540, Los Angeles, CA 90095-0001 2015-01-20
1821492414 Sherly Cherian Dietitian, Registered 200 Medical Plz, Suite 530, Los Angeles, CA 90095-0001 2014-10-10
1548502644 Lisa Kay Tritico General Acute Care Hospital 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 2013-03-27
1184966210 Ucla Health Systems Clinic/Center 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 2013-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1952926263 Georgina Parra Student in an Organized Health Care Education/Training Program 10833 Le Conteave, Los Angeles, CA 90095 2020-06-11
1609403575 Yagmur Muftuoglu Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 2020-03-23
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1184184913 Alexander Daniel Yuen Student in an Organized Health Care Education/Training Program 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 2019-03-19
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1427549146 Courtney Renee' Real Registered Nurse 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 2018-05-29
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Orthopaedic Surgery 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083259840 Remedy Place Physicians Plastic Surgery 8305 Sunset Blvd, Los Angeles, CA 90069 2019-11-15
1164943460 Precision Surgical Solutions Plastic Surgery 1215 Brockton Ave Apt 205, Los Angeles, CA 90025-1390 2017-06-28
1568903888 Maxwell Bates Johnson Plastic Surgery 5622 Kendall Ave, Los Angeles, CA 90032-1328 2017-03-20
1912450065 Socal Plastic Surgery Plastic Surgery 11870 Santa Monica Blvd Ste 106-549, Los Angeles, CA 90025-2276 2016-07-25
1013364397 Integrative Medical Group, Inc., A Professional Corporation Plastic Surgery 2200 W 3rd St Ste 120a, Los Angeles, CA 90057-5901 2016-05-17
1962811786 Michel Fernando Brones Plastic Surgery 10624 Chalon Rd, Los Angeles, CA 90077-3313 2014-08-06
1912321878 Don Hoang Plastic Surgery 1200 N State St, Clinic Tower Suite A7d, Graduate Medical Education Lac Usc Medical Center, Los Angeles, CA 90033 2014-02-13
1518212588 Jessica Ann Lee Plastic Surgery 4650 W Sunset Blvd # Ms 96, Los Angeles, CA 90027 2012-07-17
1487927992 Frank Dennis Dufour Plastic Surgery 919 Airole Way, Los Angeles, CA 90077-2601 2012-02-14
1033409420 Casian Joseph Monaco Plastic Surgery 200 Medical Plaza Suite 465, Los Angeles, CA 90095-6402 2011-04-19
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

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.

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