Search › California › 152W00000X
Bruce Wagner, OD
NPI 1053434035 · on the registry since 2007
Practice
- Address
- 24040 Camino Del Avion Ste E
Monarch Beach, CA 92629 - Phone
- (949) 443-9110
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California