Provider Demographics
NPI:1962781351
Name:AL-SAAD, MAGDALENA (FNP)
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name:AL-SAAD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23316 EAGLE RDG
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1694
Mailing Address - Country:US
Mailing Address - Phone:360-600-1801
Mailing Address - Fax:360-600-1801
Practice Address - Street 1:6340 IRVINE BLVD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-2102
Practice Address - Country:US
Practice Address - Phone:949-559-6500
Practice Address - Fax:949-559-6500
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20851363LF0000X
OR201150068NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily