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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
DR. AVNI PANDYA MD (MEDICAL DIRECTOR)
(626) 869-6050
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 # 1064, LOS ANGELES, CA 90035-2506
(310) 212-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
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
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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