Organization · Type 2 NPI

Mark S Wagner Md, A Medical Corporation

Clinic/Center · Santa Ana, CA

NPI number 1902260714 Active

Practice location

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

Call (714) 558-8038 Map

Mailing address

261 W Howard St
Pasadena, CA 91103-1529

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X95003992 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1902260714

Mark S Wagner Md, A Medical Corporation's National Provider Identifier is 1902260714, issued on Apr 7, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 17, 2018.