Provider Demographics
NPI:1922215672
Name:MAGONE, MARGARET ANN (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:MAGONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 880239
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92168-0239
Mailing Address - Country:US
Mailing Address - Phone:619-992-5228
Mailing Address - Fax:619-445-4360
Practice Address - Street 1:3651 4TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4140
Practice Address - Country:US
Practice Address - Phone:619-992-5228
Practice Address - Fax:619-445-4360
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG069985207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology