Genesa Wagoner M.D.

  • NPI 1518074160
According to our database, the NPI number for Genesa Wagoner M.D. is 1518074160 and activated since 17 years ago. Genesa Wagoner M.D. is an individual provider who specializes in Pediatrics, and the primary practice location is 1294 W 6th St, San Pedro, CA 90731. You can also contact Genesa Wagoner M.D. via telephone number is (310) 548-9118. Provider NPI information was last updated on 12/02/2011.

Recently Active NPIs

Overview of Genesa Wagoner M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/23/2006
  • Last updated: 12/02/2011

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: G77273
  • License State: CA

Provider Mailing Address

  • Address: 1294 W 6th St
    Suite 104
    San Pedro, CA 90731
  • Phone: 310-548-9118
  • Fax: 310-548-1310

Provider Practice Location

  • Address: 1294 W 6th St
    Suite 104
    San Pedro, CA 90731
  • Phone: 310-548-9118
  • Fax: 310-548-1310

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: G77273
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00G772730
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Genesa Wagoner M.D.?
  • A: The npi number for Genesa Wagoner M.D. is 1518074160.
  • Q: What are Genesa Wagoner M.D.'s specialties?
  • A: Genesa Wagoner M.D.'s specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Genesa Wagoner M.D.?
  • A: The medical license number for Genesa Wagoner M.D. is G77273 and issued in CA in USA.
  • Q: Where is Genesa Wagoner M.D. practice location?
  • A: Genesa Wagoner M.D. is practicing at 1294 W 6th St, San Pedro, CA 90731.
  • Q: How to contact Genesa Wagoner M.D.?
  • A: You can contact Genesa Wagoner M.D. via 310-548-9118.