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NPI Code Detail

MEDICARE: MR. JONATHAN CADAING MAGHIRANG RN BSN

MEDICARE: MR. JONATHAN CADAING MAGHIRANG RN BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseRN482913CA

General Provider Information

NPI Number : 1326224205
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN CADAING MAGHIRANG RN BSN
Provider Business Mailing Address
First Line : PO BOX 2009
Second Line :
City : STOCKTON
State : CA
Zip : 95201-2009
Country : US
Telephone Number : 209-468-3883
Fax Number : 209-468-8222
Provider Business Practice Location Address
First Line : 1601 E HAZELTON AVE
Second Line :
City : STOCKTON
State : CA
Zip : 95205-6229
Country : US
Telephone Number : 209-468-3883
Fax Number : 209-468-8222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 01/10/2008

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