Organization
SAN DIEGO HOSPICE & PALLIATIVE CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN JONES (V.P. FINANCE/CFO)
(619) 688-1600
Entity
Organization
Contact information
Practice address
4311 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 688-1600
(619) 688-0734
Mailing address
4311 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 688-1600
(619) 688-0734
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
080000162
CA
251G00000X
Community Based Hospice Care Agency
Primary
0080000516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01511F
—
CA
01
—
ZZZ84068Z
BLUE SHIELD OF CA
CA
Enumeration date
05/31/2005
Last updated
11/29/2011
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