SearchCalifornia101YS0200X

Tiffany Wagner, PPS

NPI 1407731326 · on the registry since 2025

Practice

Address
11021 Sunnyside Dr
Yucaipa, CA 92399
Phone
(909) 790-3270
Clinicians at this address
2

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-08

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