MEDICARE: ANABELLE MAGANA ASW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1316545031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANABELLE MAGANA ASW

Provider Business Mailing Address
First Line	:	879 W 190TH ST STE 350
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-4262
Country	:	US
Telephone Number	:	562-477-7272
Fax Number	:

Provider Business Practice Location Address
First Line	:	879 W 190TH ST STE 300
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-4223
Country	:	US
Telephone Number	:	562-477-7272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	06/25/2026

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Directions to “ ANABELLE MAGANA ASW” Practice Location

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