Provider Demographics
NPI:1154911139
Name:MAGANA, CELINA MARIE
Entity type:Individual
Prefix:
First Name:CELINA
Middle Name:MARIE
Last Name:MAGANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 1/2 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2021
Mailing Address - Country:US
Mailing Address - Phone:562-447-7824
Mailing Address - Fax:
Practice Address - Street 1:12911 BAILEY ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4102
Practice Address - Country:US
Practice Address - Phone:562-447-7824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula