Xiao H Wan (NPI# 1851616775, PAC ID# 4688825037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1851616775 |
| PAC ID by PECOS | 4688825037 |
| Professional Enrollment ID | I20121112000129 |
| Full Name | Xiao H Wan |
| Organization Legal Name | HORIZON MULTICARE GROUP INC |
| Address |
2639 W Ave K4 Lancaster CA 93536-5369 |
| Phone Number | 6615260110 |
| Gender | M |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5294033734 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050056 | ANTELOPE VALLEY HOSPITAL |
| 051333 | RIDGECREST REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2639 W Ave, K4, Lancaster, CA 93536-5369 | 6615260110 | HORIZON MULTICARE GROUP INC |
| Organization Legal Name | HORIZON MULTICARE GROUP INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed A Khalil | Internal Medicine | Horizon Multicare Group Inc | 1642 W Ave J, Lancaster, CA 93534-2814 |
| Ferdinand J Panoussi | Internal Medicine | Horizon Multicare Group Inc | 44567 15th St W, Lancaster, CA 93534-2803 |
| Misbah Y Palla | Family Medicine | Horizon Multicare Group Inc | 1642 W Ave J, Lancaster, CA 93534-2814 |
| Pejman G Mansourian | Hospitalist | Horizon Multicare Group Inc | 1642 W Ave J, Lancaster, CA 93534-2814 |
| Saima Rashid | Internal Medicine | Horizon Multicare Group Inc | 1642 W Ave J, Lancaster, CA 93534-2814 |
| Maria Jesusa Buan Tan | Nurse Practitioner | Horizon Multicare Group Inc | 1642 W Ave J, Lancaster, CA 93534-2814 |
| Street Address |
2639 W AVE K4 |
| City | LANCASTER |
| State | CA |
| Zip | 93536-5369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W. Birsner Jr. | Obstetrics/gynecology | 42103 50th St W, Lancaster, CA 93536-3512 | |
| Jennifer L Kendall | Psychologist, Clinical | 42055 50th W St, Suite 8, Lancaster, CA 93536-3520 | |
| Eric C Denley | Family Practice | Quartz Hill Walk-in Medical Group | 42357 50th St W, Suite 107, Lancaster, CA 93536-3529 |
| Titima Lin Williams | Chiropractic | 3022 W Ave L, Lancaster, CA 93536-4036 | |
| Anshu Agarwal | Psychologist, Clinical | Los Angeles County Department of Mental Health | 44900 N 60th St W, Lancaster, CA 93536-7618 |
| City | LANCASTER |
| Zip Code | 93536 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LANCASTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Xiao H 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.