Provider Demographics
NPI:1649353319
Name:WAGLE, RINATA (MD)
Entity type:Individual
Prefix:
First Name:RINATA
Middle Name:
Last Name:WAGLE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:50 DOUGLAS DRIVE
Mailing Address - Street 2:SUITE 391 HEALTH SERVICES ADMINISTRATION
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4098
Mailing Address - Country:US
Mailing Address - Phone:925-957-5429
Mailing Address - Fax:925-957-5401
Practice Address - Street 1:2500 ALHAMBRA AVENUE
Practice Address - Street 2:CONTRA COSTA REGIONAL MEDICAL CENTER AND HEALTH CENTERS
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3158
Practice Address - Country:US
Practice Address - Phone:925-370-5110
Practice Address - Fax:925-370-5142
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA807422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry