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Justin Wagner, M.D. — NPI 1871818484, Los Angeles, CA | NPI Central

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NPI 1871818484

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Justin Wagner, M.D.

NPI 1871818484 · Pediatric Surgery Physician · Los Angeles, CA

Provider details

NPI number: 1871818484
Entity type: Individual
Primary specialty: Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: A117746 (CA)

Specialties & taxonomies

Pediatric Surgery PhysicianPrimary2086S0120XLicense A117746 (CA)
Allopathic & Osteopathic Physicians
Surgery Physician208600000XLicense A117746 (CA)
Allopathic & Osteopathic Physicians

Practice location

200 Ucla Medical Plz # 265

Los Angeles, CA 90095-8344

Phone: (310) 206-2429

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

5767 W Century Blvd Ste 400

Los Angeles, CA 90045-5631

Additional practice locations (1)

27235 Tourney Rd Ste 2500
Santa Clarita, CA 91355-5908
Phone: (310) 206-2429
Fax: (310) 206-1120

Registry dates

Enumerated: 2010-04-07
Last updated: 2019-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.