JUSTIN PHILIP WAGNER M.D. NPI 1871818484

NPI Information

Justin Philip Wagner, M.D. is a pediatric surgery surgery in Los Angeles, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Justin Philip Wagner, M.D. NPI is 1871818484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 UCLA MEDICAL PLZ # 265
LOS ANGELES, CA
ZIP 90095-344
Phone: (310) 206-2429

The NPI 1871818484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 11/5/2019.

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:

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