Whalio Doctors

NPI 1972608065

Magnolia Diagnostic INC

Organisation Point of Service Burbank, CA

Practice location

Address
2000 W Magnolia Blvd 206, Burbank, CA 91506-1744
Phone
(818) 260-9222

Authorised official

Name
Lianna Ovsepian
Title
Ceo
Phone
(818) 260-9222

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 667 (CA)

Registry record

NPI
1972608065
Entity type
Organization
NPI issued
13 Sep 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.