Healthcare Provider Details

I. General information

NPI: 1538291331
Provider Name (Legal Business Name): MAGARELLI & WERLIN MED GRP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 FULLERTON SUITE 102
CORONA CA
92881
US

IV. Provider business mailing address

4900 BARRANCA PKWY SUITE 104
IRVINE CA
92604
US

V. Phone/Fax

Practice location:
  • Phone: 951-738-2229
  • Fax: 951-738-2222
Mailing address:
  • Phone: 949-726-0650
  • Fax: 949-653-1852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN C PARROTT
Title or Position: ADMINISTRATOR
Credential:
Phone: 949-726-0682