Healthcare Provider Details

I. General information

NPI: 1386574903
Provider Name (Legal Business Name): CREDO HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

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

655 N CENTRAL AVE STE 1712
GLENDALE CA
91203-1422
US

IV. Provider business mailing address

655 N CENTRAL AVE STE 1712
GLENDALE CA
91203-1422
US

V. Phone/Fax

Practice location:
  • Phone: 818-640-1426
  • Fax: 747-777-8813
Mailing address:
  • Phone: 818-640-1426
  • Fax: 747-777-8813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: EDGARDO PAGLINAWAN MAGCAMIT
Title or Position: CEO
Credential:
Phone: 818-640-1426