Individual
DR. MARK ANTHONY DIMAGGIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
(951) 788-3000
Mailing address
5064 MYRTLE AVE, RIVERSIDE, CA 92506-1423
(951) 202-2514
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135871
CA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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