Magoun, Mary Ann
Magoun, Mary Ann is an individual health care provider with primary practice located at 795 E. Second Street Suite 5, Pomona CA 91776-2007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Magoun, Mary Ann can be contacted via phone (909) 865-2565.Contact Information
Primary practice address
795 E. Second Street Suite 5
Pomona CA 91776-2007
Phone: (909) 865-2565
Fax: (909) 865-2955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 20A8657 | California |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20A8657 | California |
Profile Details
NPI number | 1467472381 |
---|---|
LBN Legal business name | Magoun, Mary Ann |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2006 |
Last updated | Sep 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467472381 | NPPES |
California | MEDICAID | 00AX86570 | |
California | Other | 20A8657 |
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