Organization
TRIDENT HOSPICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON GAVRANIAN (CEO)
(858) 366-3747
Entity
Organization
Contact information
Practice address
8380 MIRAMAR MALL STE 225B, SAN DIEGO, CA 92121-2550
(858) 366-3747
Mailing address
8380 MIRAMAR MALL STE 225B, SAN DIEGO, CA 92121-2550
(858) 366-3747
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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