| Mary Ann Magoun, DO | |
|
795 E. Second Street, Suite 5, Pomona, CA 91776-2007 | |
| (909) 865-2565 | |
| (909) 865-2955 |
| Full Name | Mary Ann Magoun |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 795 E. Second Street, Pomona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467472381 | NPI | - | NPPES |
| 20A8657 | Other | CA | STATE LICENSE |
| 00AX86570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 20A8657 (California) | Secondary |
| 208000000X | Pediatrics | 20A8657 (California) | Primary |
| Entity Name | Western University of Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679515217 PECOS PAC ID: 0648208991 Enrollment ID: O20050728000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Magoun, DO 795 E. Second Street, Suite 5, Pomona, CA 91776-2007 Ph: (909) 865-2565 | Mary Ann Magoun, DO 795 E. Second Street, Suite 5, Pomona, CA 91776-2007 Ph: (909) 865-2565 |
Dr. James T. Warren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W Bonita Ave, #200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688 |
Grace Hoang-oanh Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1532 San Bernardino Ave Ste B7, Pomona, CA 91767 Phone: 909-301-4041 Fax: 909-301-4042 |
Dr. Lisa Warren, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 795 E. Second Street, Suite 5, Pomona, CA 91766 Phone: 909-865-2565 Fax: 909-865-2599 |
Gloria Ha Phuoc Chung, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Holt Ave, Suite G, Pomona, CA 91767 Phone: 909-632-0895 |
Ericka Y Hong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W. Bonita Ave, Suite 200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688 |
Elhamy Fawzy Khalil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221 |
Darvin Bunhor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave Ste 200, Pomona, CA 91767 Phone: 909-622-6433 |