MARK S WAGNER MD, A MEDICAL CORPORATION

SANTA ANA, CA
NPI1902260714
Doing Business AsOC COMPREHENSIVE CARE
Entity TypeOrganization
Authorized ContactMARK S WAGNER
CEO / President
714-558-8038
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: CA  95003992)
Enumeration Date2016-04-07
Last Update Date2018-01-17
Business Address
MARK S WAGNER MD, A MEDICAL CORPORATION
515 CABRILLO PARK DR SUITE 120
SANTA ANA, CA 92701-5016
Phone number: 714-558-8038
Mailing Address
MARK S WAGNER MD, A MEDICAL CORPORATION
261 W HOWARD ST
PASADENA, CA 91103-1529
Phone number: 310-218-3892