Organization
BRIGHT STAR HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SHYSHAKOVA (OWNER)
(818) 600-1036
Entity
Organization
Contact information
Practice address
10817 SANTA MONICA BLVD STE 100, LOS ANGELES, CA 90025-4690
(818) 600-1036
Mailing address
10817 SANTA MONICA BLVD STE 100, LOS ANGELES, CA 90025-4690
(818) 600-1036
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
12/16/2024
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