Mary Ann Magoun
Pediatrician Neuromusculoskeletal Medicine (NMM)
795 E. Second Street Suite 5
Pomona
, California 91776-2007
Mary Ann Magoun
Pediatrician Neuromusculoskeletal Medicine (NMM)
795 E. Second Street Suite 5
Pomona
, California 91776-2007
(909) 865-2955
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Pediatrician
Languages spoken
- English
Location
First Address
- Mary Ann Magoun
- 795 E. Second Street Suite 5
- Pomona, CA
- Zip : 91776-2007
- Fax : (909) 865-2955
- Phone : (909) 865-2565
Second Address
- Mary Ann Magoun
- 795 E. Second Street Suite 5
- Pomona, CA
- Zip : 91776-2007
- Fax : (909) 865-2955
- Phone : (909) 865-2565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A8657 | CA |
| Y | 208000000X | Pediatrician | 20A8657 | CA |
National Provider Identifier
| NPI | 1467472381 |
|---|---|
| Provider Name | Mary Ann Magoun |
| First Address | Pomona, CA 91776-2007 |
| Second Address | Pomona, CA 91776-2007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 01/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00AX86570 | (05) | CA |
| 20A8657 | STATE LICENSE (01) | CA |
| I24618 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.