MR. Jason Wagner, PA-C
NPI #1457753519 in La Verne, California
Provider Information
- NPI Number
- 1457753519
- Entity Type
- Individual
- Name
- MR. Jason Wagner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 19, 2014
- Last Updated
- Jan 14, 2026
Practice Location
- Address
- 3833 EMERALD AVE
- City
- La Verne
- State
- California
- ZIP Code
- 91750-2904
- Phone
- (909) 593-4531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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