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Dr. Felipe Victora Wagner, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1336477736

Felipe Victora Wagner is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Felipe Victora Wagner practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Felipe Victora Wagner is 1336477736 and holds a License No. 30021 (California).

The current practice location address for Felipe Victora Wagner is 3350 La Jolla Village Dr, San Diego, CA and can be reached out via phone at 858-552-8585.

Location: 3350 La Jolla Village Dr, San Diego, CA, 92122-1162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336477736
Provider Name
Felipe Victora Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3350 La Jolla Village Dr, San Diego, CA, 92122-1162
Phone Number
858-552-8585
Fax Number
Provider Enumeration Date
11/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3350 La Jolla Village Dr
City
San Diego
State
California
Zip
92161-0002
Phone Number
858-552-8585
Fax Number
person
Provider Business Mailing Address Details
Address
3350 La Jolla Village Dr
City
San Diego
State
California
Zip
92161-0002
Phone Number
858-552-8585
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30021 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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