Organization
MAGNOLIA SUPPORT CENTER LLC
Active
Other names
Magnolia Support Center, Magnolia Support Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCIO MALLARI (CEO)
(562) 774-5732
Entity
Organization
Contact information
Practice address
4115 SOUTH ST, LAKEWOOD, CA 90712-1043
(562) 774-5732
Mailing address
16958 SIERRA VISTA WAY, CERRITOS, CA 90703-1844
(562) 774-5732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
01/26/2026
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