| Mr Paul Phillip Wager Jr, MFT | |
|
161 Avenida Cabrillo, San Clemente, CA 92672-4040 | |
| (949) 285-5486 | |
| Not Available |
| Full Name | Mr Paul Phillip Wager Jr |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 161 Avenida Cabrillo, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336367267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT 38677 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Phillip Wager Jr, MFT 161 Avenida Cabrillo, San Clemente, CA 92672-4040 Ph: (949) 285-5486 | Mr Paul Phillip Wager Jr, MFT 161 Avenida Cabrillo, San Clemente, CA 92672-4040 Ph: (949) 285-5486 |
Mari Konoshima Andersen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa Ste T, San Clemente, CA 92672 Phone: 949-272-4444 | |
Tracy Rose Cynthia Lisauskas, LMFT, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3504 Avenida Del Presidente Apt 20, San Clemente, CA 92672 Phone: 562-261-4103 | |
Cornel Francoise Thiersen, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 N El Camino Real Ste 216, San Clemente, CA 92672 Phone: 949-212-3266 | |
Mrs. Sharon Marie Roybal, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa, San Clemente, CA 92672 Phone: 949-632-7355 Fax: 949-248-7304 | |
Ryan Denney, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 324 Avenida De La Estrella Ste B, San Clemente, CA 92672 Phone: 949-436-7404 | |
Michael Burke, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 161 Avenida Cabrillo, San Clemente, CA 92672 Phone: 925-301-6352 | |
Jennifer Reza, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1401 N El Camino Real, Suite 106, San Clemente, CA 92672 Phone: 949-287-4289 |