Provider Demographics
NPI:1538598347
Name:DAVID P MAGNER MD INC
Entity type:Organization
Organization Name:DAVID P MAGNER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-854-3587
Mailing Address - Street 1:8737 BEVERLY BLVD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1828
Mailing Address - Country:US
Mailing Address - Phone:310-854-3587
Mailing Address - Fax:310-421-1413
Practice Address - Street 1:8737 BEVERLY BLVD
Practice Address - Street 2:SUITE 402
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1828
Practice Address - Country:US
Practice Address - Phone:310-854-3587
Practice Address - Fax:310-421-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty