LLOYD DAVID WAGNER


Address: 223 24th St, Santa Monica, CA 90402-2515
Phone: 9525951100

LLOYD DAVID WAGNER (NPI# 1124161872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124161872
Entity Type Individual
Full Name LLOYD DAVID WAGNER
Credential M.D.
Practice Address 223 24th St
Santa Monica
CA 90402-2515
Practice Telephone 9525951100
Practice Fax Number 6122944903
Mailing Telephone 8888865238
Mailing Fax Number 8888869330
Enumeration Date 2007-02-14
Last Update Date 2018-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
25MA09610500 NJ Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
G70226 CA Allopathic & Osteopathic Physicians

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1083794549 Lloyd William Wagner IIi Dentist 217 Mcfarland Circle North, Tuscaloosa, AL 35406 2006-10-17

Office Location

Street Address 223 24TH ST
City SANTA MONICA
State CA
Zip Code 90402-2515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972091999 Foundation Behavioral Health LLC Substance Abuse Rehabilitation Facility 222 Amalfi Dr, Santa Monica, CA 90402 2018-04-25
1154822997 Leora Aframian Dietitian, Registered 805 Woodacres Rd, Santa Monica, CA 90402 2018-02-27
1881123917 Brenda Heidrich Psychologist 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 2017-06-12
1578005559 Dor Keyvani Pharmacist 326 San Vicente Blvd., Apt.n, Santa Monica, CA 90402 2016-11-08
1083905707 Bruce R. Gordon Psychologist 270-26th St., Suite 202, Santa Monica, CA 90402 2011-04-28
1740426352 Adel E. Salawy Family Medicine 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 2009-01-02
1093927899 Martin S. Wasserman M.d. Inc. Psychoanalyst 510 E Channel Rd., Santa Monica., CA 90402 2007-05-04
1649339987 Massoud Nemazee Dentist 757 Ocean Ave #307, Santa-monica, CA 90402 2006-12-06
1851468136 Deborah Nadel Psychiatry & Neurology 304 Euclid St, Santa Monica, CA 90402 2006-11-29
1376592345 David Lewis Geffner Internal Medicine 310 16th St., Santa Monica, CA 90402 2006-05-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184987513 Jeffrey Rappleye Radiology 2336 Santa Monica Blvd Ste 206, Santa Monica, CA 90404-2938 2012-06-20
1689953648 John M Uszler Md A Medical Corporation Radiology 1243 Franklin St, Unit 1, Santa Monica, CA 90404 2011-08-09
1710159447 Jane Dascalos Radiology 1245 16th St Ste 100, Santa Monica, CA 90404-1255 2008-04-02
1497942106 Panayota S Roumanis Radiology 1420 5th St Apt 604, Santa Monica, CA 90401-4414 2007-09-26
1184814006 Andrew Paul Thierry Radiology 492 E Channel Rd, Santa Monica, CA 90402-1339 2007-07-26
1750595682 Farhad Keliddari Radiology 837 18th St, Unit 1, Santa Monica, CA 90403-6710 2007-05-10
1730192063 Bryan L. Winkler Radiology 834 2nd St, Apt. 14, Santa Monica, CA 90403 2006-08-15
1487684379 Robert Burnham Lufkin Radiology 2461 Santa Monica Blvd # 108, Santa Monica, CA 90404-2138 2006-07-04
1518995141 Edward Zaragoza Radiology 1250 16th St # 2340, Santa Monica, CA 90404-1249 2006-06-30
1740230291 Anne Christine Hoyt Radiology 1260 15th St Ste 111, Santa Monica, CA 90404-1136 2006-05-12
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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