MEDICARE: DR. SCOTT EDWARD MUSINSKI M.D.

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	207V00000X	Obstetrics & Gynecology Physician	G85560	CA
2	207Q00000X	Family Medicine Physician	G85560	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447223326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT EDWARD MUSINSKI M.D.

Provider Business Mailing Address
First Line	:	3160 W CANYON AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-5428
Country	:	US
Telephone Number	:	760-583-0924
Fax Number	:	844-352-6658

Provider Business Practice Location Address
First Line	:	3160 W CANYON AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-5428
Country	:	US
Telephone Number	:	760-583-0924
Fax Number	:

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	09/19/2024

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