Magnolia Diagnostic Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

667 Issued in CA

Legal business name

MAGNOLIA DIAGNOSTIC INC

Practice address

2000 W Magnolia Blvd
206
Burbank, CA 91506-1744

Phone

(818) 260-9222

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Lianna Ovsepian

Title

Ceo

Phone

(818) 260-9222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972608065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W MAGNOLIA BLVD",
            "address_2": "206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061744",
            "telephone_number": "818-260-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MAGNOLIA BLVD",
            "address_2": "206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061744",
            "telephone_number": "818-260-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVSEPIAN",
        "authorized_official_first_name": "LIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-260-9222"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Macias Maganda, NP
• Maged Ayad MD a Medical Corporation
• Raegan Magee
• Alexis Michelle Magill, HAD
• Magnolia Care Center, Inc.
• Magnolia Home Health Care Services, Inc
• Magnolia Hospice Care, Inc.
• Magnolia Medical Supply Inc
• Magnolia Neurodiagnostic Inc
• Magnolia Pharmaceutical Corp

• Point of Service in Burbank, CA
• Providers in Burbank, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.