Organization
KAISER FOUNDATION HOSPITALS
Active
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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