1285813550 NPI number — MARK MAGULAC MD A PROFESSIONAL CORPORATION

Table of content: (NPI 1285813550)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285813550 NPI number — MARK MAGULAC MD A PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARK MAGULAC MD A PROFESSIONAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285813550
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 511267
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90051-7822
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-284-2771
Provider Business Mailing Address Fax Number:
800-334-1041

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11440 W BERNARDO CT
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92127-1641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-487-3330
Provider Business Practice Location Address Fax Number:
858-487-3331
Provider Enumeration Date:
11/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MAGULAC
Authorized Official First Name:
MARK
Authorized Official Middle Name:
LYMAN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
858-487-3330

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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