Magnolia 9 LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MAGNOLIA 9 LLC

Doing business as

Magnolia 9

Practice address

12431 9TH St
Garden Grove, CA 92840-3538

Phone

(402) 250-8989

NPI assigned

Oct 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. James Sewell, MS

Title

Ceo

Phone

(402) 250-8989

Specialties & licenses 1

Addresses

Other names 1

• Magnolia 9 Doing business as

Tax ID family

Magnolia 9 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Magnolia 9 LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, CA
  • NPI 1275357725
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Magnolia 9 LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, CA
  • NPI 1275357725
  NPPES parent name

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1275355885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE A203",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265999",
            "telephone_number": "402-250-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12431 9TH ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403538",
            "telephone_number": "402-250-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14550 Magnolia St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926835586",
            "country_code": "US",
            "telephone_number": "402-250-8989",
            "fax_number": "714-475-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNOLIA 9 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-250-8989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia 9",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia 9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Magallon
• George Magallon, M.D.
• Jesus Magana
• Julissa Magdaleno
• Lauryn Magga
• Magnolia Family Care Medical Center
• Magnolia Medical Group, Inc.
• Broox Christopher Mahr
• Thao Ngoc Mai Lien
• Mai PL Tran,DDS

• Substance Abuse Rehabilitation Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.