Organization Name: | ANGELICAL HOSPICE |
NPI Number: | 1073951851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FARIBORZ CHADORCHI (CEO/PRESIDENT) |
Mailing Address: | 14349 Victory Blvd Suite 203 Van Nuys |
State: | CA US |
Postal Code: | 914011950 |
Phone Number: | 8184652266 |
Fax Number: | 8188043442 |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 06/13/2013 |
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: | |
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