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Contact Information

VICTORIA L WAGNER, LVN
1869 9TH STREET
SANTA MONICA, CA90404
 Phone: 310-314-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for VICTORIA L WAGNER · (Female)

NPI Number 1508460999
Status Active
Credentials LVN (Licensed Vocational Nurse)
Entity Individual
Enumeration date 11/25/2020
Last updated 11/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 706646
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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