Wagner, Robert Lee
Wagner, Robert Lee is an individual health care provider with primary practice located at 9850 Genesee Ave Ste 820 , La Jolla CA 92037-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wagner, Robert Lee can be contacted via phone (858) 454-5442.Contact Information
Primary practice address
9850 Genesee Ave Ste 820
La Jolla CA 92037-1219
Phone: (858) 454-5442
Fax: (858) 431-4633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G41244 | California |
Profile Details
| NPI number | 1720094055 |
|---|---|
| LBN Legal business name | Wagner, Robert Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jan 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720094055 | NPPES |
| California | Other | P00728781 | RAILROAD MEDICARE |
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