LUZ MAGDALENA MALDONADO NPI 1417647306

NPI Information

  • NPI: 1417647306
  • Provider Name: LUZ MAGDALENA MALDONADO
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 51 SAN PABLO AVE
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 491-0249

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NPI Details

Luz Magdalena Maldonado is a day training habilitation specialist in San Rafael, CA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Luz Magdalena Maldonado NPI is 1417647306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 SAN PABLO AVE
SAN RAFAEL, CA
ZIP 94903-162
Phone: (415) 491-0249
Fax: (415) 491-0915

The enumeration date for this NPI number is 5/12/2023 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1373H00000XDay Training/Habilitation SpecialistYes
2225400000XRehabilitation PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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