Organization
STARLINE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XUANRU JIN (CEO)
(213) 674-7555
Entity
Organization
Contact information
Practice address
3053 W OLYMPIC BLVD STE 207A, LOS ANGELES, CA 90006-2558
(213) 674-7555
(213) 674-7995
Mailing address
3053 W OLYMPIC BLVD STE 207A, LOS ANGELES, CA 90006-2558
(213) 674-7555
(213) 674-7995
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550002796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751685
MEDICARE
CA
Enumeration date
05/09/2013
Last updated
01/04/2024
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