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

Madeline Jewel Lustina Nebril

Individual provider Athletic Trainer · NPI 1154167633

Madeline Jewel Lustina Nebril is an Athletic Trainer in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

9055 Balboa Ave
San Diego, CA 92123-1509
Phone: (619) 849-7974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1154167633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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