Search › California › 207R00000X
Cory Wagner, MD
NPI 1467101568 · on the registry since 2022
Practice
- Address
- 8631 W 3rd St # 1135e
Los Angeles, CA 90048 - Phone
- (310) 423-7494
- Organisation at this address
- Mark Davidson Md Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1117 E Devonshire Ave, Hemet, CA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California