Healthcare Provider Details

I. General information

NPI: 1891622775
Provider Name (Legal Business Name): PATRICIA MAGDALUYO CNS, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 FROST ST
SAN DIEGO CA
92123-2701
US

IV. Provider business mailing address

7901 FROST ST
SAN DIEGO CA
92123-2701
US

V. Phone/Fax

Practice location:
  • Phone: 858-939-5917
  • Fax:
Mailing address:
  • Phone: 858-939-5917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number4231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: