| Dr Lawrence David Wagman, MD | |
|
1100 San Bernardino Road, Suite 1100, Upland, CA 91786-4952 | |
| (909) 949-2242 | |
| (909) 981-5783 |
| Full Name | Dr Lawrence David Wagman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 47 Years |
| Location | 1100 San Bernardino Road, Upland, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720180383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G55578 (California) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | G55578 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Antonio Regional Hospital | Upland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Foundation | 3779751656 | 791 |
| Entity Name | City Of Hope Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence David Wagman, MD Po Box 512185, Los Angeles, CA 90051-0185 Ph: () - | Dr Lawrence David Wagman, MD 1100 San Bernardino Road, Suite 1100, Upland, CA 91786-4952 Ph: (909) 949-2242 |
Dr. Matthew Jordan Nykiel, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 103, Upland, CA 91786 Phone: 949-429-0890 Fax: 949-340-0696 | |
Irene Bielawiec Houari, MD Surgery Medicare: Medicare Enrolled Practice Location: 901 San Bernardino Rd Suite 301, Upland, CA 91786 Phone: 909-946-6221 Fax: 909-949-3802 | |
Bradford James Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 San Bernardino Rd Ste 1100, Upland, CA 91786 Phone: 909-949-2242 Fax: 909-981-5783 | |
Stanley Saul, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2112 Fax: 909-985-3411 | |
Donna E Dudziak, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 San Bernardino Rd, Ste 301, Upland, CA 91786 Phone: 909-946-6221 Fax: 909-949-3802 | |
Adam Quasar Sugihara, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 811 E 11th St Ste 207, Upland, CA 91786 Phone: 909-870-3033 Fax: 909-870-3034 | |
Dr. Gilbert Ray Turner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 591 N 13th Ave Ste 2, Upland, CA 91786 Phone: 909-946-6209 |