Healthcare Provider Details
I. General information
NPI: 1033373899
Provider Name (Legal Business Name): TERENCE SEAN MCGEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/10/2008
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2800 PENINSULA RD 216
OXNARD CA
93035-4035
US
IV. Provider business mailing address
2800 PENINSULA RD 216
OXNARD CA
93035-4035
US
V. Phone/Fax
- Phone: 310-945-5135
- Fax: 866-204-2819
- Phone: 310-945-5135
- Fax: 866-204-2819
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | A42973 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: