Organization
A PLUS RAINBOW HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRENZY JEMUEL BERONILLA TUSCANO (CEO)
(818) 835-9242
Entity
Organization
Contact information
Practice address
8374 TOPANGA CANYON BLVD SUITE 207, CANOGA PARK, CA 91304
(818) 835-9242
Mailing address
8374 TOPANGA CANYON BLVD SUITE 207, CANOGA PARK, CA 91304
(188) 359-2428
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2463359
DRIVERS LICENSE
CA
Enumeration date
08/01/2020
Last updated
08/01/2020
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