Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A40134 | CA |
NPI | 1033206438 |
---|---|
Provider Name | Dr. Magdalena C Kaczynska |
First Address | Pebble Beach, CA 93953-0424 |
Second Address | Seaside, CA 93955-7200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 08/07/2007 |