Organization Active NPI

Magna Medical Corporation

  • Internal Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1083826366
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAGNA MEDICAL CORPORATION
Practice address
11755 Victory Blvd
Suite 206
North Hollywood, CA 91606-3423
Phone
(818) 762-9883
Fax
(818) 762-3237
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manolito Sosa Buendia, M.D.
Title
President
Phone
(818) 762-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11755 Victory Blvd
Suite 206
North Hollywood, CA 91606-3423

Mailing address

11755 Victory Blvd
Suite 206
North Hollywood, CA 91606-3423
Phone (818) 762-9883

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1083826366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "SUITE 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-762-9883",
            "fax_number": "818-762-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "SUITE 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-762-9883",
            "fax_number": "818-762-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "BUENDIA",
        "authorized_official_first_name": "MANOLITO",
        "authorized_official_middle_name": "SOSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-762-9883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.