Search › California › 152W00000X
Keith Wan, O.D
NPI 1235181165 · on the registry since 2006
Practice
- Address
- 10549 Scripps Poway Pkwy
Ste G
San Diego, CA 92131 - Phone
- (858) 530-2800
- Fax
- (858) 530-2889
- Organisation at this address
- Scripps Optometric Group
Wan And Mashouf Optometric Corp Pc
Imperial Valley Optometric CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California