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NPI Code Detail

MEDICARE: SAMUEL GONZALES MAGANA JR.

MEDICARE: SAMUEL GONZALES MAGANA JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1326758814
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL GONZALES MAGANA JR.
Provider Business Mailing Address
First Line : 41 E SAN LUIS ST
Second Line :
City : SALINAS
State : CA
Zip : 93901-3437
Country : US
Telephone Number : 831-649-4522
Fax Number :
Provider Business Practice Location Address
First Line : 41 E SAN LUIS ST
Second Line :
City : SALINAS
State : CA
Zip : 93901-3437
Country : US
Telephone Number : 831-649-4522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2022
Last Update Date : 01/26/2026

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Directions to “ SAMUEL GONZALES MAGANA JR. ” Practice Location

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