Individual provider · Type 1 NPI

Edward D. Wagner, DC

Chiropractor · Pacific Palisades, CA

NPI number 1770310690 Active

Practice location

17383 W Sunset Blvd Ste A230
Pacific Palisades, CA 90272-4181

Call (310) 230-2145 Map

Fax (310) 230-2152

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X11827 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1770310690

Edward D. Wagner, DC's National Provider Identifier is 1770310690, issued on Sep 16, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Pacific Palisades, CA. The record was last updated on Sep 16, 2024.