Organization
LA VIDA HOSPICE, INC.
Active
Organization
LA VIDA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAMUKOV MURAT (CEO/OWNER)
(857) 384-8613
Entity
Organization
Contact information
Practice address
732 W 9TH ST STE 202, SAN PEDRO, CA 90731-3629
(424) 570-1481
(310) 919-3501
Mailing address
732 W 9TH ST STE 202, SAN PEDRO, CA 90731-3629
(424) 570-1481
(424) 421-0090
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
02/05/2025
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