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Organization
MAGNIFICARE LLC
Active
Organization
MAGNIFICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN ARCEGA MENDOZA (CEO)
(949) 300-6740
Entity
Organization
Contact information
Practice address
1440 N HARBOR BLVD STE 900, FULLERTON, CA 92835-4122
(949) 300-6740
Mailing address
719 BARRIS DR, FULLERTON, CA 92832-1001
(949) 300-6740
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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