Individual provider · Type 1 NPI

Mark S. Wagner, MD

General Practice Physician · Santa Ana, CA

NPI number 1700821709 Active

Practice location

515 Cabrillo Park Dr, Suite 120
Santa Ana, CA 92701-5016

Call (714) 558-8038 Map

Fax (714) 558-6033

Mailing address

PO Box 94026
Pasadena, CA 91109-4026

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XG42267 (CA)
Pain Medicine Physician 208VP0000XG42267 (CA)
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XG42267 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1700821709

Mark S. Wagner, MD's National Provider Identifier is 1700821709, issued on Jun 17, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 1, 2015.