Individual
JORGE ALBERTO MAGDALENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-ED, RN-PHN.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11109 MORNINGSTAR PL, LOMA LINDA, CA 92354-6560
(909) 550-7209
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95158154
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
95158154
CA
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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