Organization
STEWARD HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYUNG (DANIEL) SIK SUH (PRESIDENT)
(213) 675-3006
Entity
Organization
Contact information
Practice address
16446 WOODRUFF AVE STE C, BELLFLOWER, CA 90706-4975
(562) 291-2052
(562) 291-2087
Mailing address
16446 WOODRUFF AVE STE C, BELLFLOWER, CA 90706-4975
(562) 291-2052
(562) 291-2087
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346539012
NPI
—
01
—
550002463
MEDI-CAL
CA
01
—
751545
CMS CCN
CA
Enumeration date
04/04/2011
Last updated
02/17/2023
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