Organization
FIRST AMERICAN HOSPICE, INC
Active
Organization
FIRST AMERICAN HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA PETROSYAN (CEO)
(323) 648-8580
Entity
Organization
Contact information
Practice address
436 W COLORADO ST STE 209, GLENDALE, CA 91204-3074
(323) 648-8580
Mailing address
436 W COLORADO ST STE 209, GLENDALE, CA 91204-3074
(323) 648-8580
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
08/07/2019
Last updated
08/07/2019
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