Provider Demographics
NPI:1033373899
Name:MCGEE, TERENCE SEAN (MD)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:SEAN
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 PENINSULA RD
Mailing Address - Street 2:216
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-4035
Mailing Address - Country:US
Mailing Address - Phone:310-945-5135
Mailing Address - Fax:866-204-2819
Practice Address - Street 1:2800 PENINSULA RD
Practice Address - Street 2:216
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-4035
Practice Address - Country:US
Practice Address - Phone:310-945-5135
Practice Address - Fax:866-204-2819
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42973173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHO326101OtherCALIFORNIA DRIVERS LICENSE