Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Inland Empire Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY K CHRISTIAN (EXECUTIVE DIRECTOR)
(909) 427-7701
Entity
Organization
Contact information
Practice address
17284 SLOVER AVE, FONTANA, CA 92337-7584
(909) 609-3800
(909) 609-3884
Mailing address
17284 SLOVER AVE, FONTANA, CA 92337-7584
(909) 609-3800
(909) 609-3884
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
240000833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01515F
—
CA
Enumeration date
01/24/2007
Last updated
04/20/2021
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