Magoun, Mary Ann

Magoun, Mary Ann is an individual health care provider with primary practice located at 795 E. Second Street Suite 5, Pomona CA 91776-2007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Magoun, Mary Ann can be contacted via phone (909) 865-2565.

Contact Information

Primary practice address
795 E. Second Street Suite 5 Pomona CA 91776-2007
Phone: (909) 865-2565
Fax: (909) 865-2955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 20A8657 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A8657 California

Profile Details

NPI number 1467472381
LBN Legal business name Magoun, Mary Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467472381 NPPES
California MEDICAID 00AX86570
California Other 20A8657

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