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Organization

GLENOAKS HOSPICE CARE

Active
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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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