Mark Magulac MD a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK MAGULAC MD A PROFESSIONAL CORPORATION

Practice address

11440 W Bernardo CT
Suite 300
San Diego, CA 92127-1641

Phone

(858) 487-3330

Fax

(858) 487-3331

NPI assigned

Nov 2, 2007

Last updated

Nov 23, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Lyman Magulac, MDNPI 1427085661

Title

Owner

Phone

(858) 487-3330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Lyman Magulac, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1427085661
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1285813550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511267",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517822",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271641",
            "telephone_number": "858-487-3330",
            "fax_number": "858-487-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MAGULAC MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "MAGULAC",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-487-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.