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Individual

GEORGE MAGALLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13252 GARDEN GROVE BLVD, SUITE 112, GARDEN GROVE, CA 92843-2204
(714) 740-1778
(714) 740-1913
Mailing address
13252 GARDEN GROVE BLVD, SUITE 112, GARDEN GROVE, CA 92843-2204
(714) 740-1778
(714) 740-1913

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A28454
CA

Other

Enumeration date
06/04/2009
Last updated
06/04/2009
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