DIMITRA KOKKALIS WAGNER NPI 1710390919

NPI Information

NPI: 1710390919
Provider Name: DIMITRA KOKKALIS WAGNER
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
324 W PORTAL AVE
SAN FRANCISCO, CA
ZIP 94127
Phone: (415) 731-8080
Get Directions

Dimitra Kokkalis Wagner is a specialist in San Francisco, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Dimitra Kokkalis Wagner NPI is 1710390919. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

324 W PORTAL AVE
SAN FRANCISCO, CA
ZIP 94127-412
Phone: (415) 731-8080

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A172034	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »