Organization
MEDISTAR HOSPICE
Active
Other names
medistar hospice
Organization subpart
No
Provider details
NPI number
Authorized official
INNA ZHIVILOVA (OWNER)
(818) 635-3501
Entity
Organization
Contact information
Practice address
17547 VENTURA BLVD STE 205, ENCINO, CA 91316-3854
(818) 635-3501
Mailing address
17547 VENTURA BLVD STE 205, ENCINO, CA 91316-3854
(818) 635-3501
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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