Provider Demographics
NPI:1457568693
Name:ROBERT W MAGID MAMFT INC
Entity Type:Organization
Organization Name:ROBERT W MAGID MAMFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAGID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-296-7759
Mailing Address - Street 1:25751 MCBEAN PKWY
Mailing Address - Street 2:SUITE 310-1A
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:661-296-7759
Mailing Address - Fax:
Practice Address - Street 1:25751 MCBEAN PKWY
Practice Address - Street 2:SUITE 310-1A
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:661-296-7759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM11862261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)