La Magnolia Medical Group

NPI #1811006869 in Westminster, California

Provider Information

NPI Number: 1811006869
Entity Type: Organization
Organization Name: La Magnolia Medical Group
Primary Specialty: Pediatrics
Enumeration Date: Aug 30, 2006
Last Updated: Jun 14, 2013

Practice Location

Address: 14571 MAGNOLIA ST. #210
City: Westminster
State: California
ZIP Code: 92683
Phone: (714) 894-3103

Authorized Official

Name: DR. YENCHI NGUYEN PHUC, MD
Title: PRESIDENT
Phone: (714) 894-3103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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