Organization
MARK S WAGNER MD, A MEDICAL CORPORATION
Active
Organization
MARK S WAGNER MD, A MEDICAL CORPORATION
Active
Other names
OC Comprehensive Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S WAGNER MD (CEO / PRESIDENT)
(714) 558-8038
Entity
Organization
Contact information
Practice address
515 CABRILLO PARK DR, SUITE 120, SANTA ANA, CA 92701-5016
(714) 558-8038
Mailing address
261 W HOWARD ST, PASADENA, CA 91103-1529
(310) 218-3892
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
95003992
CA
Other
Enumeration date
04/07/2016
Last updated
01/17/2018
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