Search › California › 103TS0200X
Mathew Wagner, MA PPS
NPI 1861385874 · on the registry since 2025
Practice
- Address
- 1305 Laurel Rd
Santa Paula, CA 93060 - Phone
- (805) 933-8951
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-29
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