# MAGNIFICARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033999073
- **Authorized official:** MR. RYAN ARCEGA MENDOZA (CEO)
- **Authorized official phone:** (949) 300-6740

## Contact information

- **Practice address:** 1440 N HARBOR BLVD STE 900, FULLERTON, CA 92835-4122
- **Practice address phone:** (949) 300-6740
- **Mailing address:** 719 BARRIS DR, FULLERTON, CA 92832-1001
- **Mailing address phone:** (949) 300-6740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023