MEDICARE: ALEXANDRA MAGNANI PA-C

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	363A00000X	Physician Assistant	TC196	KY
2	363A00000X	Physician Assistant	PA60214	CA

General Provider Information

NPI Number	:	1851054092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MAGNANI PA-C

Provider Business Mailing Address
First Line	:	2110 N BELLFLOWER BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-3126
Country	:	US
Telephone Number	:	562-346-2222
Fax Number	:	562-546-8210

Provider Business Practice Location Address
First Line	:	2110 N. BELLFLOWER BLVD.
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815
Country	:	US
Telephone Number	:	562-346-2222
Fax Number	:	562-546-8210

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

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	03/12/2026

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