Healthcare Provider Details

I. General information

NPI: 1568237469
Provider Name (Legal Business Name): CRESHENDA MCLAUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 E CARNEGIE DR STE 200
SAN BERNARDINO CA
92408-4201
US

IV. Provider business mailing address

473 E CARNEGIE DR STE 200
SAN BERNARDINO CA
92408-4201
US

V. Phone/Fax

Practice location:
  • Phone: 909-206-4492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: