Individual
CUAUHTEMOC MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1275
(805) 373-8582
Mailing address
351 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1275
(805) 373-8582
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A119778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982996294
—
CA
Enumeration date
05/04/2011
Last updated
03/17/2018
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