Leonard Robert Wagner in Sherman Oaks - Podiatrist
Leonard Robert Wagner - NPI 1194888255
Leonard Robert Wagner is a Podiatrist in Sherman Oaks, California. Leonard Robert Wagner practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Leonard Robert Wagner is 1194888255. The last update date is 2012-04-04.
Leonard Robert Wagner's current location address is 4955 Van Nuys Blvd, Sherman Oaks, California. You can contact this provider via phone number 8189958228 and fax number 8189951539. The mailing address for Leonard Robert Wagner is 4955 Van Nuys Blvd, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Robert Wagner |
|---|---|
| Address | 4955 Van Nuys Blvd, Sherman Oaks, California |
| Phone Number | 8189958228 |
| Fax Number | 8189951539 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1194888255 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | 4955 Van Nuys Blvd |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 91403 |
| Phone Number | 8189958228 |
| Fax Number | 8189951539 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E1949 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Leonard Robert Wagner?
The Leonard Robert Wagner has been issued the NPI (National Provider Identifier) 1194888255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Leonard Robert Wagner's facilities are geographically located?
The facilities of Leonard Robert Wagner are physically situated at the following location: 4955 Van Nuys Blvd, Sherman Oaks, CA, 91403.
What is Leonard Robert Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leonard Robert Wagner's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
When did Leonard Robert Wagner receive its 1194888255 assignment?
The Leonard Robert Wagner was assigned its 1194888255 on 2006-12-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Leonard Robert Wagner most recently updated or revised?
The information pertaining to Leonard Robert Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-04.