MAGNIFICAT MEDICAL CLINIC INC NPI 1760507206

NPI Information

MAGNIFICAT MEDICAL CLINIC INC is a women's health nurse practitioner in Bellflower, CA. MAGNIFICAT MEDICAL CLINIC INC NPI is 1760507206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17620 BELLFLOWER BLVD
STE B 106 & 107
BELLFLOWER, CA
ZIP 90706-070
Phone: (562) 867-7098
Fax: (562) 867-7146

The provider's authorized official is Joy A Reyes .
The authorized official title is Secretary and has the following contact phone number (562) 867-7098.

The CLIA number assigned to this NPI record is 05D1017218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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