Individual
EDJESKA MACANDILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12703 MEADOW GREEN RD, LA MIRADA, CA 90638-2638
(562) 448-3080
Mailing address
12703 MEADOW GREEN RD, LA MIRADA, CA 90638-2638
(562) 448-3080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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