Individual
DR. ARVID R MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 BRUCE ST, YREKA, CA 96097
(530) 841-6209
(530) 841-6243
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
G35909
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G35909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G359090
—
CA
01
—
148257300
OWCP
—
01
—
220009942
RAILROAD MEDICARE NUMBER
CA
Enumeration date
05/27/2005
Last updated
04/23/2014
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