Active NPI
Magan Medical Clinic, Inc.
- Internal Medicine Physician
- Covina, CA
National Provider Identifier
1588748024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MAGAN MEDICAL CLINIC, INC.
- Practice address
- 420 W Rowland St
Covina, CA 91723-2943 - Phone
- (626) 331-6411
- Fax
- (626) 251-1560
- NPI assigned
- Oct 24, 2006
- 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
- Mr. James Vu, MBA
- Title
- Administrator
- Phone
- (626) 331-6411
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Neurology Physician | 2084N0400X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
420 W Rowland St
Covina, CA 91723-2943
Mailing address
420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ33925Z | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411
750 N Diamond Bar Blvd
Ste 100
Diamond Bar, CA 91765
Phone (626) 331-6411
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- La Verne, CA
- NPI 1124087671
-
- Family Medicine Physician
- Lewiston, ID
- NPI 1972562841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296086400000",
"number": "1588748024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGAN MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2011-01-27",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "626-331-6411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ33925Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.