Search › California › 101YM0800X
Agatha Wise
NPI 1275080129 · on the registry since 2016 · sole proprietor
Practice
- Address
- 500 City Pkwy W
Orange, CA 92868 - Phone
- (714) 916-8601
- Organisation at this address
- County Of Orange
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 65
Additional practice sites
- 4000 W Metropolitan Dr # 120, Orange, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-30
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