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Ms. Susan Katali Wagner, PA-C
Medical Physician Assistant in Riverside, California
NPI 1457544983

Susan Katali Wagner is a Medical Physician Assistant based in Moreno Valley, CA and is specialized in Medical. Susan Katali Wagner practices in Riverside, CA and has the professional credentials of PA-C. The NPI Number for Susan Katali Wagner is 1457544983 and holds a License No. RCP19999 (California).

The current practice location address for Susan Katali Wagner is 6926 Brockton Ave, Riverside, CA and can be reached out via phone at 951-788-0370 and via fax at 951-788-0390. You can also correspond with Susan Katali Wagner through the mailing address at 26610 KALMIA AVE, MORENO VALLEY, CA - 92555-1727 (mailing address contact number: 951-601-3814).

Location: 6926 Brockton Ave, Riverside, CA, 92555-1727
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Provider Profile Details
NPI Number
1457544983
Provider Name
Susan Katali Wagner
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6926 Brockton Ave, Riverside, CA, 92555-1727
Phone Number
951-788-0370
Fax Number
951-788-0390
Provider Enumeration Date
08/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA16194 01 CA STATE
1034312 01 GA NCCPA
institution
Provider Business Practice Location Address Details
Address
6926 Brockton Ave
City
State
Zip
92506-3800
Phone Number
951-788-0370
Fax Number
951-788-0390
person
Provider Business Mailing Address Details
Address
26610 Kalmia Ave
City
State
Zip
92555-1727
Phone Number
951-601-3814
Fax Number
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Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Respiratory Therapist, Certified
Speciality
General Care
Taxonomy
License No.
PA16194 (California)
Definition
This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
RCP19999 (California)
Definition
Definition to come...
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