MEDICARE: JOHN F. MCGUIRE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	A91145	CA
2	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	A91145	CA

General Provider Information

NPI Number	:	1114106689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F. MCGUIRE MD

Provider Business Mailing Address
First Line	:	521 E. ELDER STREET
Second Line	:	SUITE 202
City	:	FALLBROOK
State	:	CA
Zip	:	92028-3083
Country	:	US
Telephone Number	:	760-723-1100
Fax Number	:	760-723-2180

Provider Business Practice Location Address
First Line	:	521 E. ELDER STREET
Second Line	:	SUITE 202
City	:	FALLBROOK
State	:	CA
Zip	:	92028-3083
Country	:	US
Telephone Number	:	760-723-1100
Fax Number	:	760-723-2180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	10/01/2012

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