| Organization Name: | FOUR SEASONS HOSPICE CARE INC |
| NPI Number: | 1649579913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARISSA RACAZA OCARIZA (PRES/CEO) |
| Mailing Address: | 4201 Wilshire Blvd Suite # 516 Los Angeles |
| State: | CA US |
| Postal Code: | 900103601 |
| Phone Number: | 3239395684 |
| Fax Number: | 3239395728 |
| NPI Enumeration Date: | 03/25/2011 |
| NPI Last Update Date: | 05/30/2014 |
| 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: | |