IndividualActive
Elisa Wan, DTR
NPI 1386859353 · Registered Dietetic Technician · San Francisco, CA
Provider details
- NPI number
- 1386859353
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- License
- 947229 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone: (415) 759-3300
Approximate (ZIP-level) locationGet directions
Mailing address
375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.