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Organization
BRIGHT SOURCE HOSPICE LLC
Active
Organization
BRIGHT SOURCE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUERUBIN IGNACIO (CEO)
(310) 383-7760
Entity
Organization
Contact information
Practice address
925 N LA BREA AVE STE 556, WEST HOLLYWOOD, CA 90038-2458
(310) 383-7760
(310) 405-0808
Mailing address
925 N LA BREA AVE STE 556, WEST HOLLYWOOD, CA 90038-2458
(310) 383-7760
(310) 405-0808
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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