Provider Demographics
NPI:1093909202
Name:RODOLFO E MAGSINO MD INC
Entity Type:Organization
Organization Name:RODOLFO E MAGSINO MD INC
Other - Org Name:RODOLFO E MAGSINO MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAGSINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-915-2055
Mailing Address - Street 1:21304 E ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-1442
Mailing Address - Country:US
Mailing Address - Phone:626-915-2055
Mailing Address - Fax:626-915-2098
Practice Address - Street 1:21304 E ARROW HWY
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1442
Practice Address - Country:US
Practice Address - Phone:626-915-2055
Practice Address - Fax:626-915-2098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty