Magic Land Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4490656 Issued in CA

Legal business name

MAGIC LAND DENTAL

Practice address

3820 Sepulveda Blvd
Torrance, CA 90505-2408

Phone

(310) 792-5200

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Miss Edith Susana Melgar, D.A.

Title

Assistant

Phone

(213) 841-9302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1235377672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 W 111TH PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032619",
            "telephone_number": "213-841-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052408",
            "telephone_number": "310-792-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC LAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "213-841-9302",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.A."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "4490656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Alexandra Magana-Brooks, LCSW
• Rafael Magdaleno
• Susana Magdaleno, PTA
• Lee Andrie Fernandez Magdamo, DPT
• Cherrie Lee Maggard
• Magic Touch Hospice
• Magicland Dental
• Kelly Magill, M.A. BCBA
• Erenea Magliba
• Dunja Milutin Maglica, MD

• Dental Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.