Organization Name: | MOBILE PALLIATIVE CARE, INC. |
NPI Number: | 1164896957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DINA AGAZARYAN (PRESEDENT/CEO) |
Mailing Address: | 18302 Sierra Hwy Ste 103 Canyon Country |
State: | CA US |
Postal Code: | 913516126 |
Phone Number: | 8182191443 |
Fax Number: | 6614249672 |
NPI Enumeration Date: | 11/17/2015 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0000X |
License Number: | 630977 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pain Management |
Taxonomy Definition: |