Wagner, Jonathan Graham

Wagner, Jonathan Graham is an individual health care provider with primary practice located at 11500 Brookshire Ave , Downey CA 90241-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wagner, Jonathan Graham can be contacted via phone (562) 698-0811.

Contact Information

Primary practice address
11500 Brookshire Ave Downey CA 90241-4917
Phone: (562) 698-0811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A107380 California

Profile Details

NPI number 1629274287
LBN Legal business name Wagner, Jonathan Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Aug 8th, 2020 - about 4 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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