Provider Demographics
NPI:1912870114
Name:MAGALING, GEORGIA
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:MAGALING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GEORGIA MARIE
Other - Middle Name:ABRENICA
Other - Last Name:MAGALING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9442 SYLMAR AVE UNIT 6
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6959
Mailing Address - Country:US
Mailing Address - Phone:818-667-7020
Mailing Address - Fax:
Practice Address - Street 1:6200 W SUNSET BLVD APT 531
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-3211
Practice Address - Country:US
Practice Address - Phone:818-667-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95037020363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner