Provider Demographics
NPI:1497819437
Name:MAGANA, ALMA (NP)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:MAGANA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ALMA
Other - Middle Name:
Other - Last Name:CORBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5650 JILLSON ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1482
Mailing Address - Country:US
Mailing Address - Phone:323-201-4516
Mailing Address - Fax:323-215-0170
Practice Address - Street 1:14371 CLARK AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2901
Practice Address - Country:US
Practice Address - Phone:562-867-7999
Practice Address - Fax:562-867-6033
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15978363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA109020-EFF 9/21/13Medicare PIN