Organization
PACIFIC HOSPICE CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BOYM (CEO)
(213) 382-3835
Entity
Organization
Contact information
Practice address
17141 VENTURA BLVD STE 201, ENCINO, CA 91316-4038
(213) 382-3825
(213) 826-1664
Mailing address
17141 VENTURA BLVD STE 201, ENCINO, CA 91316-4038
(213) 382-3825
(213) 386-1664
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
980001560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01768F
—
CA
Enumeration date
11/30/2005
Last updated
11/19/2021
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