Search › California › 111N00000X
Jackson Wagner, DC
NPI 1164986519 · on the registry since 2019
Practice
- Address
- 330 Townsend St Ste 232
San Francisco, CA 94107 - Phone
- (415) 834-5566
- Organisation at this address
- Wayne K Yuen
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-29
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