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

Magnolia Nursing Professional Corporation

Organization Family Nurse Practitioner · NPI 1629720883

Magnolia Nursing Professional Corporation is a Family Nurse Practitioner in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3435 Wilshire Blvd Ste 2780
Los Angeles, CA 90010-1901
Phone: (714) 785-3639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1629720883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Reyes — President · (714) 785-3639
NPI enumeratedJanuary 19, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address8453 Penny Dr, Riverside, CA 92503-1488

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