Jordan Wagner, CRNA

NPI 1952043689 · on the registry since 2022 · sole proprietor

Practice

Address: 1117 E Devonshire Ave
Hemet, CA 92543
Phone: (951) 652-2811
Organisation at this address: Kpc Biotech, Inc
Indra Kumar Md Inc
Kpc-Pc Dialysis Llc
Sung Ho Park Do Inc
Hemanth Neeli, Md, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 164

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-12

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