Organization Name: | HOSPICE SPECTRUM INLAND EMPIRE |
NPI Number: | 1659620987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL G OMBAO (PRESIDENT) |
Mailing Address: | 7365 Carnelian Street Suite 220 Rancho Cucamonga |
State: | CA US |
Postal Code: | 917301129 |
Phone Number: | 9092564050 |
Fax Number: | 9094408100 |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
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