# BRIGHT SOURCE HOSPICE LLC

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

## Provider details

- **NPI number:** 1659295343
- **Authorized official:** QUERUBIN IGNACIO (CEO)
- **Authorized official phone:** (310) 383-7760

## Contact information

- **Practice address:** 925 N LA BREA AVE STE 556, WEST HOLLYWOOD, CA 90038-2458
- **Practice address phone:** (310) 383-7760
- **Practice address fax:** (310) 405-0808
- **Mailing address:** 925 N LA BREA AVE STE 556, WEST HOLLYWOOD, CA 90038-2458
- **Mailing address phone:** (310) 383-7760
- **Mailing address fax:** (310) 405-0808

## 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:** 08/06/2026
- **Last updated:** 08/06/2026