Organization
EDGAR ALLAN R MUSNGI, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR ALLAN R MUSNGI M.D,. (PRESIDENT)
(310) 301-0015
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD STE 540, MARINA DEL REY, CA 90292-6391
(310) 301-0015
(310) 301-4882
Mailing address
4644 LINCOLN BLVD STE 540, MARINA DEL REY, CA 90292-6391
(310) 301-0015
(310) 301-4882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A54118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A541180
—
CA
Enumeration date
12/02/2008
Last updated
12/02/2008
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