Organization
PRUDENTIAL HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE PEREZ (CFO)
(310) 847-9341
Entity
Organization
Contact information
Practice address
1440 FLOWER ST STE B, GLENDALE, CA 91201-2422
(310) 847-9341
Mailing address
1440 FLOWER ST STE B, GLENDALE, CA 91201-2422
(310) 847-9341
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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