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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | A83768 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A837680 | 05 |
Street Address |
200 MEDICAL PLZ SUITE 465 |
City | LOS ANGELES |
State | CA |
Zip Code | 90095-0001 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90095 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
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. |
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 |
City | LOS ANGELES |
Zip Code | 90095 |
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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.