Organization
COMMONWEALTH HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERYOZHA SERGO KHRAYAN (CEO)
(747) 300-0824
Entity
Organization
Contact information
Practice address
6314 VAN NUYS BLVD STE 206, VAN NUYS, CA 91401-2625
(747) 300-0824
(747) 300-0854
Mailing address
6314 VAN NUYS BLVD STE 206, VAN NUYS, CA 91401-2625
(747) 300-0824
(747) 300-0854
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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