Provider Demographics
NPI:1235976861
Name:MAGANA, ARIANA DENISE (OD)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:DENISE
Last Name:MAGANA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:DENISE
Other - Last Name:SEGOVIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:746 WHITLATCH DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-4776
Mailing Address - Country:US
Mailing Address - Phone:951-333-7936
Mailing Address - Fax:
Practice Address - Street 1:746 WHITLATCH DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4776
Practice Address - Country:US
Practice Address - Phone:951-333-7936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35794152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist