Provider Demographics
NPI:1154591758
Name:MAGANA, EMMA (RN, CNS, PMHNP, DNP)
Entity type:Individual
Prefix:MS
First Name:EMMA
Middle Name:
Last Name:MAGANA
Suffix:
Gender:F
Credentials:RN, CNS, PMHNP, DNP
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:DULING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6060 N PARAMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-3711
Mailing Address - Country:US
Mailing Address - Phone:562-790-1860
Mailing Address - Fax:
Practice Address - Street 1:6060 N PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-3711
Practice Address - Country:US
Practice Address - Phone:909-825-8989
Practice Address - Fax:909-825-3464
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA558883163WP0808X
CA18179363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health