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MAGNOLIA NURSING PROFESSIONAL CORPORATION
NPI 1629720883
Nurse Practitioner - Family in Los Angeles, CA

Active since January 19, 2022
3435 WILSHIRE BLVD STE 2780, LOS ANGELES, CA 90010(714) 785-3639 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2022, Jan 19, 2022 (2 updates tracked since 2022).

About Magnolia Nursing Professional Corporation NPPES

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

MAGNOLIA NURSING PROFESSIONAL CORPORATION (NPI 1629720883) is a healthcare organization registered as a family in Los Angeles, California and active in the NPI registry since January 2022. The organization lists Christian Reyes, President, as its authorized official.

NPPES Registry Identity

NPI1629720883
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAGNOLIA NURSING PROFESSIONAL CORPORATION
Location Address3435 WILSHIRE BLVD STE 2780Los Angeles, CA 90010-1901
Mailing Address8453 Penny DrRiverside, CA 92503-1488 · (714) 785-3639
Phone(714) 785-3639
Organization SubpartNo
Authorized OfficialChristian ReyesPresident · (714) 785-3639
Enumeration DateJanuary 19, 2022
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1629720883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3435 WILSHIRE BLVD STE 2780, Los Angeles, CA 90010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. CHRISTIAN REYES
Nurse Practitioner (Family)
3435 WILSHIRE BLVD STE 2780
LOS ANGELES, CA 90010
Los Angeles County (714) 785-3639

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 Nursing Professional Corporation's NPI number?

The NPI number for Magnolia Nursing Professional Corporation is 1629720883. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Magnolia Nursing Professional Corporation located?

Magnolia Nursing Professional Corporation is located at 3435 Wilshire Blvd Ste 2780, Los Angeles, CA 90010. The listed phone number is (714) 785-3639.

What is Magnolia Nursing Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Magnolia Nursing Professional Corporation was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.