Individual
LORENA MAGANA MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3605 HOSPITAL RD, ATWATER, CA 95301-5173
(209) 381-2000
(209) 384-2341
Mailing address
3605 HOSPITAL RD, ATWATER, CA 95301-5173
(209) 381-2000
(209) 384-2341
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048610
NCCPA #
CA
Enumeration date
11/29/2005
Last updated
03/07/2023
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