Individual
CARLOS RAMON MAGANA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
11313 FERNWOOD AVE, FONTANA, CA 92337-0135
(626) 517-2368
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36734
CA
Other
Enumeration date
08/01/2013
Last updated
05/10/2026
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