DR. GLENN NORMAN WAGNER DO NPI 1235656323

NPI Information

  • NPI: 1235656323
  • Provider Name: DR. GLENN NORMAN WAGNER, DO
  • Classification: Independent Medical Examiner - 202C00000X
  • Entity Type: Individual
  • Address: 5570 OVERLAND AVE STE 101
    SAN DIEGO, CA
    ZIP 92123
  • Phone: (858) 694-2899

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NPI Details

DR. Glenn Norman Wagner, DO is an independent medical examiner in San Diego, CA. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. DR. Glenn Norman Wagner, DO NPI is 1235656323. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5570 OVERLAND AVE STE 101
SAN DIEGO, CA
ZIP 92123-215
Phone: (858) 694-2899
Fax: (858) 694-2514

The enumeration date for this NPI number is 8/29/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202C00000XIndependent Medical Examiner20A4111CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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