Individual
DAVID L MCANINCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3375
Mailing address
PO BOX 7462, ORANGE, CA 92863-7462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G42124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G421240
—
CA
01
—
360001893
RAILROAD MEDICARE
—
Enumeration date
08/18/2005
Last updated
08/18/2021
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