Individual
BRIAN MAGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
(310) 316-6190
(310) 540-7362
Mailing address
5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
(310) 316-6190
(310) 540-7362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036110354
IL
207X00000X
Orthopaedic Surgery Physician
Primary
A103550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386687606
NPI
—
01
—
BH719W
MEDICARE PTAN
CA
01
—
BH719Z
MEDICARE PTAN
—
Enumeration date
06/14/2006
Last updated
03/04/2020
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