Wagner, Gail Mona

Wagner, Gail Mona is an individual health care provider with primary practice located at 2500 Merced Street , San Leandro CA 94577-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Wagner, Gail Mona can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced Street San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G37771 California

Profile Details

NPI number 1780756593
LBN Legal business name Wagner, Gail Mona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780756593 NPPES
California MEDICAID 00G377710

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