Raul Magallanes
Counselor, Professional in Santa Monica, CA. Individual provider (NPI-1).
NPI number1831922020
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1831922020
- Entity type
- Individual (NPI-1)
- Name
- Raul Magallanes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | CA | Yes |
Practice location
1749 14th StSanta Monica, CA 90404-4342
Phone 323-334-9000 · Fax 323-334-4437
Mailing address
2116 Arlington Ave Ste 100Los Angeles, CA 90018-1300
Phone 323-334-9000 · Fax 323-334-4437
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