Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Magnolia Acute Trauma, a Medical Corporation

Organization Trauma Surgery Physician · NPI 1578947404

Magnolia Acute Trauma, a Medical Corporation provides Trauma Surgery Physician services in Riverside, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (469) 401-2386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X

Record details

NPI number1578947404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (973) 251-1132
NPI enumeratedJuly 9, 2015
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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