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Anthony Edmund Magit

Otolaryngology

Allopathic & Osteopathic Physicians

3030 Childrens Way, Suite 402, San Diego, CA 92123-4232

PECOS Enrollment

This provider is enrolled in PECOS as ANTHONY MAGIT.

Based on the most recent information from CMS, provider Anthony Edmund Magit is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1891858379
Provider Type
Individual
Full Name
Magit, Anthony Edmund
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/18/2006
Last Updated
10/10/2011

Contact Information

Practice Location

3030 Childrens Way, Suite 402, San Diego, CA 92123-4232

(858) 309-7701

Unlisted Fax

Mailing Location

3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800

(858) 309-6303

(858) 309-6301

Provider Taxonomies

Code	Description	License
Code 207YP0228X Primary	Description Otolaryngology Allopathic & Osteopathic Physicians	License G71859 California
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License G71859 California

Provider Identifiers

ID	Description	Issuer
ID 00G718590	Description Medicaid	Issuer Unlisted California

Anthony Edmund Magit

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kearns, Donald Bokenfohr

Shah, Gopi Bipin

Children'S Specialists Of San Diego - Div Of Ent

Qian, Zhen Jason

Leuin, Shelby C.

Pransky, Seth Marc

Bothwell, Marcella R.

Patel, Vijay A.

Yang, Jeremy D

Bliss, Morgan Renee