DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELISA WAN, DTR

Active

136A00000X · SAN FRANCISCO, CA

Registration Details

NPI Number
1386859353
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2007 (18.943454756036 yrs)
Last Updated
Jul 8, 2007
License
947229 (CA)

Practice Information

Address
375 LAGUNA HONDA BLVD
SAN FRANCISCO, CA, 941161411
Browse CA providers · Browse ZIP 94116
Phone
4157593300
Primary Specialty
136A00000X
136A00000X

Other 136A00000X Providers in SAN FRANCISCO, CA

Name Credential NPI
MRS. DORIS GEE CHAN DTR 1417972423
ALISON LAW DTR 1770697773
ANDREW SCHOENWETTER DTR 1548489099
JULIE FAN DTR 1629792379
BRANDONE NICCOLE KOZLOWSKI DTR 1285358002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.