Provider Demographics
NPI:1033206438
Name:KACZYNSKA, MAGDALENA C (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:C
Last Name:KACZYNSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:.3330 STEVENSON DR.
Mailing Address - City:PEBBLE BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93953-0424
Mailing Address - Country:US
Mailing Address - Phone:831-915-2227
Mailing Address - Fax:831-624-7111
Practice Address - Street 1:3401 ENGINEER LN
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-7200
Practice Address - Country:US
Practice Address - Phone:831-883-3810
Practice Address - Fax:831-883-3860
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA40134207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology