Healthcare Provider Details

I. General information

NPI: 1144407495
Provider Name (Legal Business Name): MAGDALENA WERNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11835 W OLYMPIC BLVD STE 815E
LOS ANGELES CA
90064-5056
US

IV. Provider business mailing address

5121 OAKWOOD AVE
LA CANADA FLINTRIDGE CA
91011-2453
US

V. Phone/Fax

Practice location:
  • Phone: 323-332-9905
  • Fax:
Mailing address:
  • Phone: 626-375-8305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: