Organization
SOCAL HOSPICE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLORD RIVERA (CEO)
(562) 443-8475
Entity
Organization
Contact information
Practice address
235 E BROADWAY STE 411, LONG BEACH, CA 90802-7816
(562) 443-8475
(562) 394-0550
Mailing address
235 E BROADWAY STE 411, LONG BEACH, CA 90802-7816
(562) 443-8475
(562) 394-0550
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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