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

Medizen Magnolia, LLC

Organization Body Imaging Physician · NPI 1700235215

Medizen Magnolia, LLC is a Body Imaging Physician in Fountain Valley, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17305 Brookhurst St
Fountain Valley, CA 92708-3721
Phone: (714) 968-8998
Fax: (714) 968-8628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (CA)
Body Imaging Physician Taxonomy 2085B0100X (CA)
Nuclear Radiology Physician Taxonomy 2085N0904X (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X (CA)
Radiology Clinic/Center Taxonomy 261QR0200X (CA)

Record details

NPI number1700235215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Mai — President · (714) 968-8998
NPI enumeratedJune 6, 2016
Last updated in NPPESJune 6, 2016
Mailing address17305 Brookhurst St, Fountain Valley, CA 92708-3721

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