Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAGNOLIA SUPPORT CENTER LLC
NPI 1033905476
Clinic/Center - Rehabilitation in Lakewood, CA

Active since April 15, 2025
4115 SOUTH ST, LAKEWOOD, CA 90712(562) 780-6532(310) 438-2105 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Jan 23, 2026, Jul 12, 2025 and 1 more (4 updates tracked since 2025).

About Magnolia Support Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA SUPPORT CENTER LLC (NPI 1033905476), doing business as Magnolia Support Center, is a healthcare organization registered as a rehabilitation in Lakewood, California and active in the NPI registry since April 2025. The organization lists Rocio Mallari, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033905476
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMAGNOLIA SUPPORT CENTER LLC
Location Address4115 SOUTH STLakewood, CA 90712-1043
Mailing Address16958 Sierra Vista WayCerritos, CA 90703-1844 · (562) 774-5732
Fax(310) 438-2105
Organization SubpartNo
Authorized OfficialRocio MallariCeo · (562) 774-5732
Enumeration DateApril 15, 2025
Last NPPES UpdateJune 22, 20264 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1033905476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
4115 SOUTH ST, Lakewood, CA 90712

Other Names 1

Doing Business AsMagnolia Support Center

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
4115 SOUTH ST
LAKEWOOD, CA 90712
Acupuncturist
4115 SOUTH ST
LAKEWOOD, CA 90712
Chiropractor
4115 SOUTH ST
LAKEWOOD, CA 90712
Massage Therapist
4115 SOUTH ST
LAKEWOOD, CA 90712
Physical Therapist
4115 SOUTH ST
LAKEWOOD, CA 90712
Chiropractor
4115 SOUTH ST
LAKEWOOD, CA 90712
Chiropractor
4115 SOUTH ST
LAKEWOOD, CA 90712
Chiropractor
4115 SOUTH ST
LAKEWOOD, CA 90712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Support Center LLC's NPI number?

The NPI number for Magnolia Support Center LLC is 1033905476. It was assigned to this organization in the NPPES registry on April 15, 2025. The provider is doing business as Magnolia Support Center.

Where is Magnolia Support Center LLC located?

Magnolia Support Center LLC is located at 4115 South St, Lakewood, CA 90712. The listed phone number is (562) 780-6532.

What is Magnolia Support Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Magnolia Support Center LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.