Organization
MEDIZEN MAGNOLIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T MAI M.D. (PRESIDENT)
(714) 968-8998
Entity
Organization
Contact information
Practice address
17305 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3721
(714) 968-8998
(714) 968-8628
Mailing address
17305 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3721
(714) 968-8998
(714) 968-8628
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
CA
2085N0904X
Nuclear Radiology Physician
—
CA
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
2085U0001X
Diagnostic Ultrasound Physician
—
CA
261QR0200X
Radiology Clinic/Center
—
CA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up