| Devon Lia-soan Wan, DMD | |
|
1809 National Ave, San Diego, CA 92113-2113 | |
| (619) 515-2394 | |
| Not Available |
| Full Name | Devon Lia-soan Wan |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1809 National Ave, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255666228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60547 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Family Health Centers Of San Diego, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Lia-soan Wan, DMD 3512 Seahorn Cir., San Diego, CA 92130 Ph: () - | Devon Lia-soan Wan, DMD 1809 National Ave, San Diego, CA 92113-2113 Ph: (619) 515-2394 |
Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239 | |
Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000 | |
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170 | |
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774 | |
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683 | |
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135 | |
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135 |