Provider Demographics
NPI:1114031986
Name:MAGALE, CHARMAINE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARMAINE
Middle Name:
Last Name:MAGALE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2515
Mailing Address - Country:US
Mailing Address - Phone:916-529-2124
Mailing Address - Fax:
Practice Address - Street 1:2716 V STREET
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95618
Practice Address - Country:US
Practice Address - Phone:916-551-1545
Practice Address - Fax:916-551-1545
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28818111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician