Wagmeister, Robert

Wagmeister, Robert is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Ste 670W, Santa Monica CA 90404-2185. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wagmeister, Robert can be contacted via phone (310) 828-5626.

Contact Information

Primary practice address
2001 Santa Monica Blvd Ste 670W Santa Monica CA 90404-2185
Phone: (310) 828-5626
Fax: (310) 828-2826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G41624 California

Profile Details

NPI number 1720014525
LBN Legal business name Wagmeister, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 9th, 2019 - about 5 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 1720014525 NPPES
California MEDICAID 00G416240

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