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MAGNOLIA DIAGNOSTIC INC NPI 1972608065


NPI Information

NPI: 1972608065
Provider Name: MAGNOLIA DIAGNOSTIC INC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2000 W MAGNOLIA BLVD
206
BURBANK, CA
ZIP 91506
Phone: (818) 260-9222
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MAGNOLIA DIAGNOSTIC INC is a point of service in Burbank, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MAGNOLIA DIAGNOSTIC INC NPI is 1972608065. The provider is registered as an organization entity type.

The provider's business location address is:

2000 W MAGNOLIA BLVD
206
BURBANK, CA
ZIP 91506-744
Phone: (818) 260-9222

The provider's authorized official is Lianna Ovsepian .
The authorized official title is Ceo and has the following contact phone number (818) 260-9222.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service667CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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