Individual
DAVID JOSEPH MAGORIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 S FAIRMONT AVE, SUITE 130, LODI, CA 95240-5100
(209) 366-2001
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C41064
CA
207RI0011X
Interventional Cardiology Physician
C41064
CA
207UN0901X
Nuclear Cardiology Physician
C41064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060018902
RAILROAD MEDICARE
CA
Enumeration date
11/14/2006
Last updated
08/27/2015
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