DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LEONARD ROBERT WAGNER, DPM

Active Sole Proprietor

DR. LEONARD ROBERT WAGNER, DPM is a Podiatrist healthcare provider located in SHERMAN OAKS, California. NPI 1194888255 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · SHERMAN OAKS, CA

Registration Details

NPI Number
1194888255
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2006 (19.653114409954 yrs)
Last Updated
Apr 4, 2012
License
E1949 (CA)
Sole Proprietor
Yes

Practice Information

Address
4955 VAN NUYS BLVD
SUITE 107
SHERMAN OAKS, CA, 91403
Browse CA providers · Browse ZIP 91403
Phone
8189958228
Fax
8189951539
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in SHERMAN OAKS, CA

Name Credential NPI
DR. MICHAEL ALAN MATTES DPM, PHARM.D. 1902954613
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.