Doctor Name: | DR. MAGED ABDELMSSIEH TOMA |
NPI Number: | 1699726190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A89472 |
Business Practice Address: | 12370 Hesperia Rd Suite 15 Victorville, CA - 923957719 |
Business Phone Number: | 7602417773 |
Business Fax Number: | 7602417793 |
Mailing Address: | 14011 Park Avenue, VICTORVILLE |
State: | CA |
Postal Code: | 92392 |
Phone Number: | 8887500036 |
Fax Number: | 7608432045 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A89472 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |