Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | G71859 | CA |
Y | 207YP0228X | Pediatric Otolaryngology | G71859 | CA |
NPI | 1891858379 |
---|---|
Provider Name | Anthony Edmund Magit |
First Address | San Diego, CA 92123-4800 |
Second Address | San Diego, CA 92123-4232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 10/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G718590 | (05) | CA |