Organization
BUENA VISTA HOSPICE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE J. OLSON (PRESIDENT)
(805) 777-1133
Entity
Organization
Contact information
Practice address
143 TRIUNFO CANYON RD, SUITE 201, WESTLAKE VILLAGE, CA 91361-2514
(805) 777-1133
Mailing address
143 TRIUNFO CANYON RD, SUITE 201, WESTLAKE VILLAGE, CA 91361-2514
(805) 777-1133
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
05-1787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPC01787F
MEDI-CAL PROVIDER #
CA
Enumeration date
03/09/2006
Last updated
08/22/2020
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