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Organization

MOBILE PALLIATIVE CARE, INC.

Active
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Organization

MOBILE PALLIATIVE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINA AGAZARYAN FNP-BC (PRESEDENT/CEO)
(818) 335-4443
Entity
Organization

Contact information

Practice address
18302 SIERRA HWY STE 103, CANYON COUNTRY, CA 91351-6126
(818) 219-1443
(661) 424-9672
Mailing address
18302 SIERRA HWY STE 103, CANYON COUNTRY, CA 91351-6126
(818) 219-1443
(661) 424-9672

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
630977
CA
174400000X
Specialist
6309977
CA
174H00000X
Health Educator
630977
CA
253Z00000X
In Home Supportive Care Agency
630977
CA
363L00000X
Nurse Practitioner
Primary
630977
CA

Other

Enumeration date
11/17/2015
Last updated
11/17/2015
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