Healthcare Provider Details

I. General information

NPI: 1861641573
Provider Name (Legal Business Name): NORMA LOPEZ MAGANA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 N REINO RD
NEWBURY PARK CA
91320-3714
US

IV. Provider business mailing address

411 W ESPLANADE DR # 1101
OXNARD CA
93036-1298
US

V. Phone/Fax

Practice location:
  • Phone: 805-630-4713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29849
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: