Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK S WAGNER, MD
Active Sole ProprietorMARK S WAGNER, MD is a General Practice healthcare provider located in SANTA ANA, California. NPI 1700821709 is currently active in the NPPES registry. Verify at CMS.
General Practice · SANTA ANA, CA
Registration Details
- NPI Number
- 1700821709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2006 (20.134886997116 yrs)
- Last Updated
- Sep 1, 2015
- Licenses
-
G42267 (CA)G42267 (CA)G42267 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
515 CABRILLO PARK DRSUITE 120SANTA ANA, CA, 927015016Browse CA providers · Browse ZIP 92701
- Phone
- 7145588038
- Fax
- 7145586033
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Addiction Psychiatry
Other General Practice Providers in SANTA ANA, CA
| Name | Credential | NPI |
|---|---|---|
| DAVID CHEN | MD | 1023016896 |
| DR. ROXANA P MINKUS | D.O | 1184669871 |
| DR. ALAN WILLIAM NAYES | MD | 1386676955 |
| SERGIO RICARDO AGUILAR | DDS | 1467566257 |
| DR. GHADIR M KINAWY | MD | 1497864573 |
| DR. SAWITRI - WERASOPHON | M.D. | 1447361209 |
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.