Provider Demographics
NPI:1831394642
Name:MAGANA, GILBERT E
Entity type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:E
Last Name:MAGANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 EASTMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-3315
Mailing Address - Country:US
Mailing Address - Phone:323-721-9547
Mailing Address - Fax:
Practice Address - Street 1:150 E OLIVE AVE STE 203
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1849
Practice Address - Country:US
Practice Address - Phone:818-973-4899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health