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Organization
MOBILE HOME HEALTH PALLIATIVE & HOSPICE MEDICAL GROUP
Active
Organization
MOBILE HOME HEALTH PALLIATIVE & HOSPICE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S. DAVIDSON (ADMINISTRATOR)
(310) 212-1500
Entity
Organization
Contact information
Practice address
1425 W MANCHESTER AVE STE A, LOS ANGELES, CA 90047-5436
(310) 212-1500
Mailing address
1270 S ALFRED ST UNIT 1064, LOS ANGELES, CA 90035-2506
(310) 212-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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