Healthcare Provider Details

I. General information

NPI: 1831029453
Provider Name (Legal Business Name): EDGARDO PAGLINAWAN MAGCAMIT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MRS. ELENA MAGCAMIT

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 PIONEER DR UNIT 104
GLENDALE CA
91203-2741
US

IV. Provider business mailing address

345 PIONEER DR UNIT 104
GLENDALE CA
91203-2741
US

V. Phone/Fax

Practice location:
  • Phone: 818-731-3349
  • Fax: 747-777-8813
Mailing address:
  • Phone: 818-731-3349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN503179
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: