| Organization Name: | MATRIX HOSPICE INC |
| NPI Number: | 1013355031 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAHNAZ HAKAMI (CEO/PRESIDENT) |
| Mailing Address: | 19562 Ventura Blvd Ste 217 Tarzana |
| State: | CA US |
| Postal Code: | 913566054 |
| Phone Number: | 3109972549 |
| Fax Number: | 3109972546 |
| NPI Enumeration Date: | 06/12/2013 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |