Active NPI
Magnolia Hope Foundation
- Rehabilitation Clinic/Center
- Lakewood, CA
National Provider Identifier
1033905476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MAGNOLIA HOPE FOUNDATION
- Practice address
- 4115 South St
Lakewood, CA 90712-1043 - Phone
- (562) 780-6532
- Fax
- (310) 438-2105
- NPI assigned
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rocio Mallari
- Title
- Ceo
- Phone
- (562) 774-5732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4115 South St
Lakewood, CA 90712-1043
Mailing address
16958 Sierra Vista Way
Cerritos, CA 90703-1844
Phone (562) 774-5732
Other names 1
- Magnolia Support Center
National Provider Directory
National Provider DirectoryLocations
4115 South St
Lakewood, CA 90712
Phone (562) 408-1140
13055 Rosecrans Ave
Santa Fe Springs, CA 90670
6921 Cerritos Ave
Stanton, CA 90680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1033905476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16958 SIERRA VISTA WAY",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031844",
"telephone_number": "562-774-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 SOUTH ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121043",
"telephone_number": "562-780-6532",
"fax_number": "310-438-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA HOPE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "MALLARI",
"authorized_official_first_name": "ROCIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-774-5732",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Support Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnolia Support Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.