Organization
BLUE CROSS HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGIK VARDANYAN (CEO)
(747) 666-1603
Entity
Organization
Contact information
Practice address
4605 LANKERSHIM BLVD STE 305, NORTH HOLLYWOOD, CA 91602-1875
(747) 666-1603
(747) 666-1604
Mailing address
4605 LANKERSHIM BLVD STE 305, NORTH HOLLYWOOD, CA 91602-1875
(747) 666-1603
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
09/22/2022
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