MEDIZEN MAGNOLIA LLC NPI 1700235215

NPI Information

  • NPI: 1700235215
  • Provider Name: MEDIZEN MAGNOLIA, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 17305 BROOKHURST ST
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 968-8998

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NPI Details

MEDIZEN MAGNOLIA, LLC is a diagnostic radiology radiology in Fountain Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDIZEN MAGNOLIA, LLC NPI is 1700235215. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17305 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708-721
Phone: (714) 968-8998
Fax: (714) 968-8628

The provider's authorized official is David T Mai .
The authorized official title is President and has the following contact phone number (714) 968-8998.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/6/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingCALIFORNIANo
22085N0904XRadiologyNuclear RadiologyCALIFORNIANo
32085U0001XRadiologyDiagnostic UltrasoundCALIFORNIANo
4261QR0200XClinic/CenterRadiologyCALIFORNIANo
52085R0202XRadiologyDiagnostic RadiologyCALIFORNIAYes

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: 11/21/2025

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