MEDICARE: MADYSEN LINDA MAGBANUA MOT

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1861217390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADYSEN LINDA MAGBANUA MOT

Provider Business Mailing Address
First Line	:	12832 TEXANA ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-3618
Country	:	US
Telephone Number	:	858-414-9031
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 MIDWAY DR STE 2006
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4925
Country	:	US
Telephone Number	:	619-255-1497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	11/19/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1376248856 — EMILY PALMER M.A., ED.S.
Practice Location Address:

3434 MIDWAY DR STE 2006
SAN DIEGO, CA
92110-4925

Practice Phone: 619-255-1497
Practice Fax:

1851110183 — MARIJOIE C LUMABAO RBT
Practice Location Address:

3434 MIDWAY DR STE 2006
SAN DIEGO, CA
92110-4925

Practice Phone: 619-255-1497
Practice Fax:

1114800778 — DEANNE LEWIS
Practice Location Address:

3434 MIDWAY DR STE 2006
SAN DIEGO, CA
92110-4925

Practice Phone: 619-255-1497
Practice Fax:

1831112366 — KRIS GERARD KINSELLA D.C
Practice Location Address:

4501 MISSION BAY DR STE 2D
SAN DIEGO, CA
92109-4925

Practice Phone: 858-581-1828
Practice Fax:

1093907867 — KINSELLA CHIROPRACTIC INC
Practice Location Address:

4501 MISSION BAY DR STE 2D
SAN DIEGO, CA
92109-4925

Practice Phone: 858-581-1828
Practice Fax:

Directions to “ MADYSEN LINDA MAGBANUA MOT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.