Provider Demographics
NPI:1811056500
Name:MCGARRITY D O MEDICAL CORPORATION
Entity type:Organization
Organization Name:MCGARRITY D O MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OSTEOPATHIC PHYSICIAN & SURGOEN
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCGARRITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-294-1160
Mailing Address - Street 1:3750 SANTA ROSALIA DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-3627
Mailing Address - Country:US
Mailing Address - Phone:323-294-1160
Mailing Address - Fax:323-294-8191
Practice Address - Street 1:3750 SANTA ROSALIA DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3627
Practice Address - Country:US
Practice Address - Phone:323-294-1160
Practice Address - Fax:323-294-8191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW9352Medicare PIN