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Organization

ST. LIZ HOSPICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO MORENO YAO CERT. HOSPICE ADM. (CEO)
(213) 365-6499
Entity
Organization

Contact information

Practice address
1910 W SUNSET BLVD., SUITE 420, LOS ANGELES, CA 90026-3281
(213) 365-6499
(888) 415-5250
Mailing address
1910 W SUNSET BLVD., SUITE 420, LOS ANGELES, CA 90026-3281
(213) 365-6499
(888) 415-5250

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
980001331
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HPC01744F
MEDI-CAL PROVIDER #
CA
Enumeration date
01/03/2006
Last updated
01/05/2023
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