Organization
SDPM MEDICAL GROUP, INCORPORATED
Active
Other names
San Diego Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE WAGNER JR. MD (PRESIDENT)
(858) 454-5442
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE STE 820, LA JOLLA, CA 92037-1219
(858) 454-5442
(858) 431-4633
Mailing address
PO BOX 221048, SAN DIEGO, CA 92192-1048
(858) 395-0309
(858) 452-9027
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
01/07/2020
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