K&B Mag Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

K&B MAG CORP.

Practice address

14752 Holt Ave
Tustin, CA 92780-2708

Phone

(714) 235-0515

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Kathy Jebelli MaghboulehNPI 1275194284

Title

Cfo

Phone

(714) 235-0515

Specialties & licenses 1

Addresses

Other names 1

• Queens Home 3 Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy J Maghbouleh

  • Nursing Home Administrator
  • Mission Viejo, CA
  • NPI 1275194284
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1255112132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14752 HOLT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802708",
            "telephone_number": "714-235-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14752 HOLT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802708",
            "telephone_number": "714-235-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&B MAG CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "MAGHBOULEH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "JEBELLI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-235-0515"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Home 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Jung, DPT
• Carol Jung, PA-C
• Kevin C Jung, D.C.
• K Derifield LMFT Inc
• K Derifield LMFT Inc
• Kabacare Tustin Ca PC
• Gena E Kadar, D.C.
• Mimi Kahn, MSW,LCSW
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals

• Assisted Living Facility in Tustin, CA
• Providers in Tustin, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.