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LA MAGNOLIA MEDICAL GROUP
NPI 1811006869
Pediatrics in Westminster, CA

Active since August 30, 2006CLIA 05D0580073 · Waiver
14571 MAGNOLIA ST. #210, WESTMINSTER, CA 92683(714) 894-3103(714) 894-6264 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About La Magnolia Medical Group NPPES

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

LA MAGNOLIA MEDICAL GROUP (NPI 1811006869) is a healthcare organization registered as a pediatrics in Westminster, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yenchi Nguyen Phuc, President, as its authorized official.

NPPES Registry Identity

NPI1811006869
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLA MAGNOLIA MEDICAL GROUP
Location Address14571 MAGNOLIA ST. #210Westminster, CA 92683
Mailing Address14571 Magnolia St. #210Westminster, CA 92683 · (714) 894-3103 · Fax (714) 894-6264
Phone(714) 894-3103
Fax(714) 894-6264
Organization SubpartNo
Authorized OfficialYenchi Nguyen PhucPresident · (714) 894-3103
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 14, 2013
✔ NPI 1811006869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · G63064✔ Licensed in CA · A40020
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14571 MAGNOLIA ST. #210, Westminster, CA 92683
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Other Identifiers 1

MedicaidGR0093500CA

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0580073

La Magnolia Medical Group Inc · Westminster, CA
Active · expires Aug 31, 2026
CLIA Number05D0580073
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHuy M. Nguyen
Laboratory Phone(714) 894-3103
Laboratory LocationLa Magnolia Medical Group Inc14571 Magnolia St Ste 210, Westminster, CA 92683
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 La Magnolia Medical Group's NPI number?

The NPI number for La Magnolia Medical Group is 1811006869. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is La Magnolia Medical Group located?

La Magnolia Medical Group is located at 14571 Magnolia St. #210, Westminster, CA 92683. The listed phone number is (714) 894-3103.

What is La Magnolia Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does La Magnolia Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0580073) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Magnolia Medical Group was last updated on June 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.