Edgar Allan R Musngi, M.D. Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A54118 Issued in CA

Legal business name

EDGAR ALLAN R MUSNGI, M.D. INC.

Practice address

4644 Lincoln Blvd Ste 540
Marina del Rey, CA 90292-6391

Phone

(310) 301-0015

Fax

(310) 301-4882

NPI assigned

Dec 2, 2008

Last updated

Dec 2, 2008By 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

Edgar Allan R Musngi, M.D,.

Title

President

Phone

(310) 301-0015

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1831334010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD STE 540",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926391",
            "telephone_number": "310-301-0015",
            "fax_number": "310-301-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD STE 540",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926391",
            "telephone_number": "310-301-0015",
            "fax_number": "310-301-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR ALLAN R MUSNGI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "MUSNGI",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ALLAN R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-301-0015",
        "authorized_official_credential": "M.D,."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A54118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A541180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.