Organization
GLENOAKS HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGO GEVORGYAN (CEO)
(818) 452-9622
Entity
Organization
Contact information
Practice address
7430 COLDWATER CANYON AVE UNIT B, NORTH HOLLYWOOD, CA 91605-3501
(818) 452-9622
(818) 452-9623
Mailing address
7430 COLDWATER CANYON AVE UNIT B, NORTH HOLLYWOOD, CA 91605-3501
(818) 452-9622
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
06/19/2019
Last updated
10/14/2022
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