Healthcare Provider Details

I. General information

NPI: 1851054092
Provider Name (Legal Business Name): ALEXANDRA MAGNANI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 N. BELLFLOWER BLVD.
LONG BEACH CA
90815
US

IV. Provider business mailing address

2110 N BELLFLOWER BLVD
LONG BEACH CA
90815-3126
US

V. Phone/Fax

Practice location:
  • Phone: 562-346-2222
  • Fax: 562-546-8210
Mailing address:
  • Phone: 562-346-2222
  • Fax: 562-546-8210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA3879
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60214
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA3879
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberTC196
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: