MEDICARE: DAVID OMAR MAGANA

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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1598696775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID OMAR MAGANA

Provider Business Mailing Address
First Line	:	202 N 8TH ST
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 N 8TH ST
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2302
Country	:	US
Telephone Number	:	442-265-1586
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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