Individual provider · Type 1 NPI
Peggy Gray Magnusson, D.P.M.
Foot & Ankle Surgery Podiatrist · Redondo Beach, CA
NPI number
1619002821
Active
Practice location
2850 Artesia Blvd, #204
Redondo Beach, CA 90278-3419
Fax (310) 545-4998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E2343 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1619002821
Peggy Gray Magnusson, D.P.M.'s National Provider Identifier is 1619002821, issued on Feb 21, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Redondo Beach, CA. The record was last updated on May 3, 2019.