=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033373899
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TERENCE SEAN MCGEE MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2008
-----------------------------------------------------
Last Update Date | 07/10/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2800 PENINSULA RD 216
-----------------------------------------------------
City | OXNARD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93035-4035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-945-5135
-----------------------------------------------------
Fax | 866-204-2819
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2800 PENINSULA RD 216
-----------------------------------------------------
City | OXNARD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93035-4035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-945-5135
-----------------------------------------------------
Fax | 866-204-2819
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 173000000X
-----------------------------------------------------
Taxonomy Name | Legal Medicine
-----------------------------------------------------
License Number | A42973
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------