Willis H Wagner (NPI# 1003836248, PAC ID# 0749241487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
Nation Provider ID (NPI) | 1003836248 |
PAC ID by PECOS | 0749241487 |
Professional Enrollment ID | I20041214001253 |
Full Name | Willis H Wagner |
Organization Legal Name | CEDARS-SINAI MEDICAL CENTER |
Address |
8700 Beverly Blvd West Hollywood CA 90048-1804 |
Phone Number | 3104235000 |
Gender | M |
Credential | MD |
Graduation Year | 1981 |
Primary Specialty | VASCULAR SURGERY |
Group Practice PAC ID | 0446169114 |
Number of Group Practice Members | 431 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050625 | CEDARS-SINAI MEDICAL CENTER |
050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
8631 W 3rd St, Suite 615e, Los Angeles, CA 90048-5934 | 3106528132 | VASCULAR SURGERY ASSOCIATES |
1301 20th St, Suite 390, Santa Monica, CA 90404-2087 | 3106528132 | VASCULAR SURGERY ASSOCIATES |
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 3104235000 | CEDARS-SINAI MEDICAL CENTER |
Organization Legal Name | CEDARS-SINAI MEDICAL CENTER |
Physicians | 495 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Noble | Pulmonary Disease | Cedars-sinai Medical Center | 8723 Alden Dr, Los Angeles, CA 90048 |
Rex Chung | Critical Care (intensivists) | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Phuong My Chau | Psychologist, Clinical | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1865 |
Jomarie Monzon Duller | Nurse Practitioner | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Andrea V Corpora | Physician Assistant | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Jeffrey C Wertheimer | Psychologist, Clinical | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Bonnie L Olson | Psychiatry | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Susie K Lee | Nurse Practitioner | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Joshua Michael Pevnick | Internal Medicine | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Eleanor King | Physician Assistant | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Street Address |
8700 BEVERLY BLVD |
City | WEST HOLLYWOOD |
State | CA |
Zip | 90048-1804 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rex Chung | Critical Care (intensivists) | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Phuong My Chau | Psychologist, Clinical | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1865 |
Jomarie Monzon Duller | Nurse Practitioner | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Andrea V Corpora | Physician Assistant | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Charandle S Jordan | Hospitalist | Cedars Sinai Medical Care Foundation | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Luiza K Gevshanyan | Nurse Practitioner | Cedars Sinai Medical Care Foundation | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Omar Durra | Anesthesiology | General Anesthesia Specialists Partnership Medical Group | 8700 Beverly Blvd, Cedars Sinai Med Ctr, Los Angeles, CA 90048-1865 |
Jeffrey C Wertheimer | Psychologist, Clinical | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Bonnie L Olson | Psychiatry | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Elton J Tourje | Diagnostic Radiology | Cedars Sinai Imaging Medical Group A Professional Corporation | 8700 Beverly Blvd, M 335, West Hollywood, CA 90048-1804 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Noble | Pulmonary Disease | Cedars-sinai Medical Center | 8723 Alden Dr, Los Angeles, CA 90048 |
Gabriela Y Carlos | Chiropractic | 464 N Doheny Dr, West Hollywood, CA 90048-1726 | |
Regina R Berkovich | Neurology | 8727 Beverly Blvd, Suite B, West Hollywood, CA 90048-1803 | |
Timothy J Liddy | Podiatry | 8797 Beverly Blvd, Suite 350, West Hollywood, CA 90048-1803 | |
Susie K Lee | Nurse Practitioner | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Joshua Michael Pevnick | Internal Medicine | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Eleanor King | Physician Assistant | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Raymond Zimmer | Cardiovascular Disease (cardiology) | Cedars Sinai Medical Care Foundation | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Jethro L Hu | Neurology | Cedars-sinai Medical Center | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Jing Zhai | Pathology | Cedars Sinai Medical Care Foundation | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
Find all physicians in zip 90048 |
City | WEST HOLLYWOOD |
Zip Code | 90048 |
Specialty | VASCULAR SURGERY |
City + Specialty | WEST HOLLYWOOD + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Willis H Wagner.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.