Organization
CARL R. WAGREICH, D.P.M., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL WAGREICH D.P.M. (PRESIDENT)
(310) 373-0521
Entity
Organization
Contact information
Practice address
23451 MADISON ST, SUITE 230, TORRANCE, CA 90505-4763
(310) 373-0521
(310) 791-1691
Mailing address
23451 MADISON ST, SUITE 230, TORRANCE, CA 90505-4763
(310) 373-0521
(310) 791-1691
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E2415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E24150
—
CA
Enumeration date
05/08/2007
Last updated
10/30/2009
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