Provider Demographics
NPI:1033321757
Name:MAGNER, DAVID PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:MAGNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8737 BEVERLY BLVD
Mailing Address - Street 2:402
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1828
Mailing Address - Country:US
Mailing Address - Phone:310-854-3580
Mailing Address - Fax:310-659-5830
Practice Address - Street 1:8737 BEVERLY BLVD
Practice Address - Street 2:402
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1828
Practice Address - Country:US
Practice Address - Phone:310-854-3580
Practice Address - Fax:310-659-5830
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2016-05-26
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Provider Licenses
StateLicense IDTaxonomies
CAA95917208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery