| Magnolia Wellness Inc. | |
|
4295 Gesner St Ste 3f San Diego CA 92117-6667 | |
| (858) 956-0514 | |
| Not Available |
| Full Name | Magnolia Wellness Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4295 Gesner St Ste 3f, San Diego, California |
| Authorized Official Name and Position | Kaili Ji Shumilak (PRESIDENT) |
| Authorized Official Contact | 8589560514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Wellness Inc. 3365 29th Street 1/2 San Diego CA 92104 Ph: (619) 887-0987 | Magnolia Wellness Inc. 4295 Gesner St Ste 3f San Diego CA 92117-6667 Ph: (858) 956-0514 |
| NPI Number | 1346933181 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346933181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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