MEDICARE: ISAIAH MAGPALI-ISAAC

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

General Provider Information

NPI Number	:	1710339700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISAIAH MAGPALI-ISAAC

Provider Business Mailing Address
First Line	:	501 N GOLDEN CIRCLE DR
Second Line	:	SUITE 100
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3913
Country	:	US
Telephone Number	:	714-543-0483
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 N GOLDEN CIRCLE DR
Second Line	:	SUITE 100
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3913
Country	:	US
Telephone Number	:	714-543-0483
Fax Number	:

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

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	07/01/2016

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Directions to “ ISAIAH MAGPALI-ISAAC ” Practice Location

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