Wagner, Willis H.
Wagner, Willis H. is an individual health care provider with primary practice located at 8631 W 3Rd St Suite 615E, Los Angeles CA 90048-5901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wagner, Willis H. can be contacted via phone (310) 652-8132.Contact Information
Primary practice address
8631 W 3Rd St Suite 615E
Los Angeles CA 90048-5901
Phone: (310) 652-8132
Fax: (310) 659-3815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G049464 | California |
Profile Details
| NPI number | 1003836248 |
|---|---|
| LBN Legal business name | Wagner, Willis H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Oct 8th, 2007 - about 19 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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