Provider Demographics
NPI:1427413376
Name:MOHAMMED, MAGDA HASSAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAGDA
Middle Name:HASSAN
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10851 WHIPPLETREE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1940
Mailing Address - Country:US
Mailing Address - Phone:619-607-2644
Mailing Address - Fax:
Practice Address - Street 1:10851 WHIPPLETREE LN
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1940
Practice Address - Country:US
Practice Address - Phone:619-607-2644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA411064163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse