Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Acute Trauma, a Medical Corporation

Organization Trauma Surgery Physician · NPI 1578947404

Magnolia Acute Trauma, a Medical Corporation is a Trauma Surgery Physician in Riverside, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X

Record details

NPI number1578947404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (973) 251-1132
NPI enumeratedJuly 9, 2015
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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