Wagner, Leonard Robert

Wagner, Leonard Robert is an sole proprietor health care provider with primary practice located at 4955 Van Nuys Blvd Suite 107, Sherman Oaks CA 91403. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wagner, Leonard Robert can be contacted via phone (818) 995-8228.

Contact Information

Primary practice address
4955 Van Nuys Blvd Suite 107 Sherman Oaks CA 91403
Phone: (818) 995-8228
Fax: (818) 995-1539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1949 California

Profile Details

NPI number 1194888255
LBN Legal business name Wagner, Leonard Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Apr 4th, 2012 - about 12 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.

Request for update

Popular Providers