Organization
CHANNEL HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRITTANY PENA (OWNER, CEO, CFO, SECRETARY)
(323) 381-5204
Entity
Organization
Contact information
Practice address
5657 WILSHIRE BLVD UNIT 425, LOS ANGELES, CA 90036-3736
(323) 381-5204
(323) 381-5202
Mailing address
5657 WILSHIRE BLVD UNIT 425, LOS ANGELES, CA 90036-3736
(323) 381-5204
(323) 381-5202
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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