Individual
SHAUN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
443697
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95021557
CA
Other
Enumeration date
03/23/2010
Last updated
05/16/2023
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