Provider Demographics
NPI:1639342132
Name:MAGUINA, PIRKO (MD)
Entity Type:Individual
Prefix:DR
First Name:PIRKO
Middle Name:
Last Name:MAGUINA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2425 STOCKTON BLVD
Mailing Address - Street 2:SUITE 718
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2215
Mailing Address - Country:US
Mailing Address - Phone:916-453-2051
Mailing Address - Fax:916-453-2373
Practice Address - Street 1:2221 STOCKTON BLVD
Practice Address - Street 2:CYPRESS BUILDING, SUITE E
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1418
Practice Address - Country:US
Practice Address - Phone:916-734-2680
Practice Address - Fax:916-734-3951
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-07-07
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Provider Licenses
StateLicense IDTaxonomies
CAA104210208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery