Organization
PALLIATIVE CARE PROVIDER SOCAL, INC
Active
Organization
PALLIATIVE CARE PROVIDER SOCAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN CORDERO CONTACT PERSON (CONTACT PERSON)
(818) 636-4110
Entity
Organization
Contact information
Practice address
13615 VICTORY BLVD, 120, VAN NUYS, CA 91401-1737
(323) 828-5658
Mailing address
13615 VICTORY BLVD, 120, VAN NUYS, CA 91401-1737
(323) 828-5658
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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