Organization
AGE HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURGEN SARGSYAN (CEO)
(747) 245-9866
Entity
Organization
Contact information
Practice address
16430 VANOWEN ST STE 205, LAKE BALBOA, CA 91406-4729
(747) 245-9866
Mailing address
16430 VANOWEN ST STE 205, LAKE BALBOA, CA 91406-4729
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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