DR. Richard Jackson Magallon, MD
NPI #1316925530 in San Dimas, California
Provider Information
- NPI Number
- 1316925530
- Entity Type
- Individual
- Name
- DR. Richard Jackson Magallon, MD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jan 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1334 W COVINA BLVD
- Address 2
- STE 206
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3211
- Phone
- (626) 963-1645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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