Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Hospice Program
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL LUIS VARGAS (VP, CARE AT HOME)
(626) 773-0355
Entity
Organization
Contact information
Practice address
1502 W WEST COVINA PKWY, WEST COVINA, CA 91790-2703
(626) 480-5178
(626) 480-5112
Mailing address
1502 W WEST COVINA PKWY, WEST COVINA, CA 91790-2703
(626) 480-5178
(626) 480-5112
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
980000509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01504F
—
CA
Enumeration date
01/24/2007
Last updated
10/20/2025
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