<Unavail>

LBN: Mark S Wagner Md, A Medical Corporation
<Unavail> is an health care organization with primary practice located at 515 Cabrillo Park Dr Suite 120, Santa Ana CA 92701-5016. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mark S Wagner Md, A Medical Corporation can be contacted via phone (714) 558-8038, or through Wagner, Mark S via phone (714) 558-8038.

Contact Information

Primary practice address
515 Cabrillo Park Dr Suite 120 Santa Ana CA 92701-5016
Phone: (714) 558-8038
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Mark S Doctor of Medicine (MD)
Phone: (714) 558-8038

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 95003992 California

Profile Details

NPI number 1902260714
LBN Legal business name Mark S Wagner Md, A Medical Corporation
DBA Doing business as <Unavail>
Authorized official Wagner, Mark S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2016
Last updated Jan 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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