Individual
DR. RENEE N. MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3306 PICO BLVD, SANTA MONICA, CA 90405-2116
(310) 450-0600
(888) 965-6671
Mailing address
3306 PICO BLVD, SANTA MONICA, CA 90405-2116
(310) 450-0600
(888) 965-6671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A83425
CA
208D00000X
General Practice Physician
Primary
A83425
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A834250
BLUE SHIELD
CA
05
—
00A834250
—
CA
01
—
050126CI34527
VALLEY PRES TRAILBLAZER
CA
01
—
A83425
BLUE CROSS
CA
01
—
P00278486
VALLEY PRES RAILROAD
CA
Enumeration date
05/27/2006
Last updated
11/17/2021
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