Abeth Magkawas

Individual provider Active NPI Homemaker · Duarte, CA

NPI 1740049451 · NPPES record last updated Mar 15, 2024

Key facts

NPI
1740049451
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
License
194700274 (CA)
Practice address
617 Woodland CT
Duarte, CA 91010-1367
Phone
(626) 671-1055
Fax
(626) 671-1056
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
194700274CAMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
New Everlasting Caregivers, Inc. Homemaker Current
since Mar 17, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 194700274 CA Yes

Addresses

Primary practice location

617 Woodland CT
Duarte, CA 91010-1367

Mailing address

617 Woodland CT
Duarte, CA 91010-1367
Phone (626) 671-1055

Other providers in Duarte, CA

All providers in Duarte, CA · Homemaker in California

Sources for this page

Verify at the official NPI Registry.