| Magnolia 9 LLC | |
|
14550 Magnolia St Ste 101 Westminster CA 92683-5586 | |
| (402) 250-8989 | |
| (714) 475-2746 |
| Full Name | Magnolia 9 LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14550 Magnolia St Ste 101, Westminster, California |
| Authorized Official Name and Position | James Sewell (CEO) |
| Authorized Official Contact | 4022508989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia 9 LLC 151 Kalmus Dr Ste A203 Costa Mesa CA 92626-5999 Ph: (402) 250-8989 | Magnolia 9 LLC 14550 Magnolia St Ste 101 Westminster CA 92683-5586 Ph: (402) 250-8989 |
| NPI Number | 1275357725 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275357725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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