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Contact Information

MARK E WEGENER, DPT
23832 ROCKFIELD BLVD STE 160
LAKE FOREST, CA92630-2820
 Phone: 949-465-9500
 Fax: 949-465-9506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK E WEGENER · (Male)

NPI # 1013070200
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 12/18/2006
Last updated 05/24/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # PT24624
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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