# PEGGY G MAGNUSSON DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot Care at Home, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245798446
- **Authorized official:** DR. PEGGY GRAY MAGNUSSON DPM (DIRECTOR)
- **Authorized official phone:** (310) 245-2789

## Contact information

- **Practice address:** 2850 ARTESIA BLVD STE 204, REDONDO BEACH, CA 90278-3413
- **Practice address phone:** (424) 257-5241
- **Practice address fax:** (866) 257-3292
- **Mailing address:** 2850 ARTESIA BLVD STE 204, REDONDO BEACH, CA 90278-3413
- **Mailing address phone:** (424) 257-5241
- **Mailing address fax:** (866) 257-3292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 05/02/2019