# MAGNOLIA MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275612665
- **Authorized official:** DR. JEFFREY D CHU M.D. (PRESIDENT)
- **Authorized official phone:** (714) 534-6400

## Contact information

- **Practice address:** 12921 FERN ST STE E, GARDEN GROVE, CA 92841-4300
- **Practice address phone:** (714) 899-8198
- **Practice address fax:** (714) 899-8598
- **Mailing address:** 12921 FERN ST STE E, GARDEN GROVE, CA 92841-4300
- **Mailing address phone:** (714) 899-8198
- **Mailing address fax:** (714) 899-8598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2006
- **Last updated:** 08/22/2020