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LUIS G MAGDALENO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1164492013

Individual Registrant:
 LUIS G MAGDALENO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
29409 S WESTERN AVENUE  RANCHO PULOS VERDES, CA 90275 US
Tel: 310-832-4225  Fax: 310-831-4860

Contact information for business:
3500 LOMITA BLVD SUITE 203 TORRANCE, CA 90505-5021 US
Tel: 310-534-8164  Fax: 310-534-4267

Registration Information:
NPI: 1164492013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG47888

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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