Wagreich, Carl
Wagreich, Carl is an sole proprietor health care provider with primary practice located at 23451 Madison St Ste 230, Torrance CA 90505-4761. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wagreich, Carl can be contacted via phone (310) 373-0521.Contact Information
Primary practice address
23451 Madison St Ste 230
Torrance CA 90505-4761
Phone: (310) 373-0521
Fax: (310) 791-1691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E2415 | California |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2415 | California |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | E2415 | California |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E2415 | California |
Profile Details
| NPI number | 1043213242 |
|---|---|
| LBN Legal business name | Wagreich, Carl |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Oct 30th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043213242 | NPPES |
| California | MEDICAID | 000E24150 |
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