Organization
SAN PEDRO HOSPICE INC.
Active
Organization
SAN PEDRO HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KODJOGLIAN (PRESIDENT)
(818) 731-6083
Entity
Organization
Contact information
Practice address
605 S PACIFIC AVE STE 200, SAN PEDRO, CA 90731-2664
(818) 731-6083
Mailing address
605 S PACIFIC AVE STE 200, SAN PEDRO, CA 90731-2664
(818) 731-6083
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
02/21/2013
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