# MAGNOLIA WOMEN'S CENTER

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

## Provider details

- **NPI number:** 1912905191
- **Authorized official:** OK SUK KIM MD (OWNER)
- **Authorized official phone:** (951) 351-1071

## Contact information

- **Practice address:** 3975 JACKSON ST, STE 110, RIVERSIDE, CA 92503-3901
- **Practice address phone:** (951) 351-1071
- **Practice address fax:** (951) 351-1207
- **Mailing address:** 3975 JACKSON ST, STE 110, RIVERSIDE, CA 92503-3901
- **Mailing address phone:** (951) 351-1071
- **Mailing address fax:** (951) 351-1207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 07/30/2010
