GLENN N. WAGNER DO – NPI #1235656323
Independent Medical Examiner

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

GLENN WAGNER is an independent medical examiner located in SAN DIEGO, CA. NPPES has assigned the NPI number 1235656323 to GLENN WAGNER on August 29, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 202C00000X from the Health Care Provider Taxonomy code set, which is classified as Independent Medical Examiner.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENN WAGNER below.

NPI Profile for
GLENN N. WAGNER

NPI Number
1235656323
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN N. WAGNER
Credentials
DO
Primary location
5570 OVERLAND AVE STE 101
SAN DIEGO, CA 92123-1215
Phone: (858) 694-2899 Fax: (858) 694-2514
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
202C00000X
- Independent Medical Examiner (Primary)
CA 20A4111

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.