# PROVIDENCE TRINITYCARE HOSPICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366034423
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 5315 TORRANCE BLVD STE B1, TORRANCE, CA 90503-4011
- **Practice address phone:** (310) 543-3400
- **Practice address fax:** (310) 543-3437
- **Mailing address:** 5315 TORRANCE BLVD STE B1, TORRANCE, CA 90503-4011
- **Mailing address phone:** (310) 543-3400
- **Mailing address fax:** (310) 543-3437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 05/16/2025