Organization Name: | CALIFORNIA HOSPICE CORP |
NPI Number: | 1255615548 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNA KHACHTARYAN (CEO) |
Mailing Address: | 905 S. Lake St Suite 201 And 202 And 202 Burbank |
State: | CA US |
Postal Code: | 91502 |
Phone Number: | 8185576444 |
Fax Number: | 8185576333 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 550001932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |