Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Congregate Living Inc

Organization Nurse Practitioner · NPI 1811786825

Magnolia Congregate Living Inc is a Nurse Practitioner in Corona, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1572 Evergreen Ln
Corona, CA 92879-3010
Phone: (562) 301-8792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1811786825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Le — Cno · (562) 301-8792
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address4042 Winterhaven St, Yorba Linda, CA 92886-1647

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