Individual provider · Type 1 NPI

Justin Philip Wagner, MD

Pediatric Surgery Physician · Los Angeles, CA

NPI number 1871818484 Active

Practice location

200 Ucla Medical Plz # 265
Los Angeles, CA 90095-8344

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908 · (310) 206-2429

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XA117746 (CA)
Pediatric Surgery Physician Primary 2086S0120XA117746 (CA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1871818484

Justin Philip Wagner, MD's National Provider Identifier is 1871818484, issued on Apr 7, 2010. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 5, 2019.