Robert Lee Wagner Jr, MD | |
9850 Genesee Ave Ste 820, La Jolla, CA 92037-1219 | |
(858) 454-5442 | |
(858) 431-4633 |
Full Name | Robert Lee Wagner Jr |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 9850 Genesee Ave Ste 820, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720094055 | NPI | - | NPPES |
P00728781 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | G41244 (California) | Primary |
Entity Name | Cpms Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942400692 PECOS PAC ID: 1951490838 Enrollment ID: O20071129000472 |
Entity Name | Sdpm Medical Group, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821640145 PECOS PAC ID: 4385971217 Enrollment ID: O20190814003499 |
Mailing Address | Practice Location Address |
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Robert Lee Wagner Jr, MD File # 54433, Los Angeles, CA 90074-0001 Ph: () - | Robert Lee Wagner Jr, MD 9850 Genesee Ave Ste 820, La Jolla, CA 92037-1219 Ph: (858) 454-5442 |
Dr. Zoe Gillian Rafaat, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7861 Herschel Ave, La Jolla, CA 92037 Phone: 858-230-2876 | |
Dr. Amy Wang, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9400 Campus Point Dr, La Jolla, CA 92093 Phone: 858-246-1758 | |
Dr. Mary Lou Marsh, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9888 Genesee Ave, La Jolla, CA 92037 Phone: 858-626-6109 | |
Imanuel Ruvin Lerman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 619-543-5754 | |
Dr. Farshad M Ahadian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9310 Campus Point Dr, Mc 7651, Rm A-115, La Jolla, CA 92037 Phone: 858-657-7072 | |
Elan Daniel Krojanker, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9434 Medical Center Dr, La Jolla, CA 92037 Phone: 858-657-7000 | |
Dr. Catherine J Payson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5726 La Jolla Blvd Unit 3a, La Jolla, CA 92037 Phone: 858-459-5437 |