MEDICARE: MAYSA K NAGI 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	207Q00000X	Family Medicine Physician	377563-1205	UT
2	207Q00000X	Family Medicine Physician	C170211	CA

General Provider Information

NPI Number	:	1497794655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYSA K NAGI MD

Provider Business Mailing Address
First Line	:	9850 GENESEE AVE STE 320
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1208
Country	:	US
Telephone Number	:	858-554-1212
Fax Number	:	858-795-1195

Provider Business Practice Location Address
First Line	:	1905 CALLE BARCELONA STE 211
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-8452
Country	:	US
Telephone Number	:	858-554-1212
Fax Number	:

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	02/13/2024

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Directions to “ MAYSA K NAGI MD” Practice Location

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