Organization Name: | MAGNOLIA DIAGNOSTIC INC |
NPI Number: | 1972608065 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LIANNA OVSEPIAN (CEO) |
Mailing Address: | 2000 W Magnolia Blvd 206 Burbank |
State: | CA US |
Postal Code: | 915061744 |
Phone Number: | 8182609222 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | 667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |