Organization
MAGNIFICAT MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY A REYES NURSE PRACTIITONER (SECRETARY)
(562) 867-7098
Entity
Organization
Contact information
Practice address
17620 BELLFLOWER BLVD, STE B 106 & 107, BELLFLOWER, CA 90706-8070
(562) 867-7098
(562) 867-7146
Mailing address
17620 BELLFLOWER BLVD, STE B 106 & 107, BELLFLOWER, CA 90706-8070
(562) 867-7098
(562) 867-7146
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205977246
NURSE PRACTITIONER
CA
01
—
1255372942
MEDICAL DOCTOR
CA
Enumeration date
03/21/2007
Last updated
08/22/2020
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