Healthcare Provider Details

I. General information

NPI: 1265370696
Provider Name (Legal Business Name): MAGHEN PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD STE 402
BEVERLY HILLS CA
90210-6134
US

IV. Provider business mailing address

9301 WILSHIRE BLVD STE 402
BEVERLY HILLS CA
90210-6134
US

V. Phone/Fax

Practice location:
  • Phone: 310-429-4427
  • Fax:
Mailing address:
  • Phone: 310-429-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MAGHEN
Title or Position: CEO
Credential: MD
Phone: 310-429-4427