Magallon, Richard Jackson

Magallon, Richard Jackson is an individual health care provider with primary practice located at 1334 W Covina Blvd Ste 206, San Dimas CA 91773-3211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Magallon, Richard Jackson can be contacted via phone (626) 963-1645.

Contact Information

Primary practice address
1334 W Covina Blvd Ste 206 San Dimas CA 91773-3211
Phone: (626) 963-1645
Fax: (909) 394-0841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A21166 California

Profile Details

NPI number 1316925530
LBN Legal business name Magallon, Richard Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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