Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendall Shannon Wagner, MD

Individual provider Specialist · NPI 1306888995

Kendall Shannon Wagner, MD is a Specialist in Fullerton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Laguna Rd Ste A
Fullerton, CA 92835-3635
Phone: (714) 879-0050
Fax: (714) 879-0249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G40943 (CA)

Record details

NPI number1306888995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESAugust 5, 2010

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