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Mark S Wagner Md, A Medical Corporation
Clinic/Center in Santa Ana, California
NPI 1902260714

Mark S Wagner Md, A Medical Corporation is a Clinic/Center based in Pasadena, CA. Mark S Wagner Md, A Medical Corporation practices in Santa Ana, CA. The NPI Number for Mark S Wagner Md, A Medical Corporation is 1902260714 and holds a License No. 95003992 (California).

The current practice location address for Mark S Wagner Md, A Medical Corporation is 515 Cabrillo Park Dr, Santa Ana, CA and can be reached out via phone at 714-558-8038. You can also correspond with Mark S Wagner Md, A Medical Corporation through the mailing address at 261 W HOWARD ST, PASADENA, CA - 91103-1529 (mailing address contact number: 310-218-3892).

Location: 515 Cabrillo Park Dr, Santa Ana, CA, 91103-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902260714
Provider Name
Mark S Wagner Md, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
515 Cabrillo Park Dr, Santa Ana, CA, 91103-1529
Phone Number
714-558-8038
Fax Number
Provider Enumeration Date
04/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 Cabrillo Park Dr
City
Santa Ana
State
California
Zip
92701-5016
Phone Number
714-558-8038
Fax Number
person
Provider Business Mailing Address Details
Address
261 W Howard St
City
Pasadena
State
California
Zip
91103-1529
Phone Number
310-218-3892
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
95003992 (California)
Definition
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).
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