Provider Demographics
NPI:1699354464
Name:MAGSIPOC, ADRIANNE RAE (MD)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:RAE
Last Name:MAGSIPOC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2516 STOCKTON BLVD STE 216
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2208
Mailing Address - Country:US
Mailing Address - Phone:916-734-5177
Mailing Address - Fax:
Practice Address - Street 1:2516 STOCKTON BLVD STE 216
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2208
Practice Address - Country:US
Practice Address - Phone:916-734-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2024-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1920572080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine