| Doctor Name: | MRS. EVELYN CARACCIOLO MAGCALAS |
| NPI Number: | 1295878882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 2311 W El Segundo Blvd Hawthorne, CA - 902503315 |
| Business Phone Number: | 3232416730 |
| Business Fax Number: | 3237561163 |
| Mailing Address: | 2311 W El Segundo Blvd, HAWTHORNE |
| State: | CA |
| Postal Code: | 902503315 |
| Phone Number: | 6264844618 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |