Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC20094 | CA |
NPI | 1396888962 |
---|---|
Provider Name | Dr. Magdy S Guirguis |
First Address | Santa Monica, CA 90403-5679 |
Second Address | Santa Monica, CA 90403-5679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |