Organization
BONA FIDE HOSPICE INC
Active
Organization
BONA FIDE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARD AIVAZOVI (CEO)
(747) 466-6313
Entity
Organization
Contact information
Practice address
14529 ARCHWOOD ST STE 106, VAN NUYS, CA 91405-4602
(747) 466-6313
Mailing address
14529 ARCHWOOD ST STE 106, VAN NUYS, CA 91405-4602
(747) 466-6313
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
03/14/2025
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