Susan Katali Wagner in Riverside - General Care
Susan Katali Wagner - NPI 1457544983
Susan Katali Wagner is a General Care in Riverside, California. Susan Katali Wagner practices all healthcare services and medical treatments related to General Care. The NPI Number for Susan Katali Wagner is 1457544983. The last update date is 2023-03-07.
Susan Katali Wagner's current location address is 6926 Brockton Ave, Riverside, California. You can contact this provider via phone number 9517880370 and fax number 9517880390. The mailing address for Susan Katali Wagner is 6926 Brockton Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Katali Wagner |
|---|---|
| Address | 6926 Brockton Ave, Riverside, California |
| Phone Number | 9517880370 |
| Fax Number | 9517880390 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457544983 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 6926 Brockton Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925063800 |
| Phone Number | 9517880370 |
| Fax Number | 9517880390 |
Provider's Primary Taxonomy Detail
| Speciality | General Care |
|---|---|
| Taxonomy | 2278G1100X |
| Licence No | RCP19999 |
|
Definition: This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA16194 | CA | STATE | |
| 1034312 | GA | NCCPA |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Katali Wagner by the Centers for Medicare & Medicaid Services?
The Susan Katali Wagner has been assigned the NPI (National Provider Identifier) 1457544983. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan Katali Wagner's physical address?
The Susan Katali Wagner is physically located at 6926 Brockton Ave, in the city of Riverside, CA, with the postal code 925063800.
What is Susan Katali Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Katali Wagner's specialized field of practice is General Care, and the corresponding taxonomy code that categorizes this area of specialization is 2278G1100X.
When did the Susan Katali Wagner receive its 1457544983?
The Susan Katali Wagner was issued its 1457544983 on 2007-08-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Susan Katali Wagner most recently updated or revised?
The information pertaining to Susan Katali Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.