MEDICARE: WEST COAST PALLIATIVE CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1003457789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST PALLIATIVE CARE INC

Provider Business Mailing Address
First Line	:	213 W ALAMEDA AVE STE 203
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-3028
Country	:	US
Telephone Number	:	818-322-0550
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N BRAND BLVD STE 627
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4447
Country	:	US
Telephone Number	:	818-322-0550
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GEVORG ABRAHAMYAN
Credential	:
Telephone Number	:	818-322-0550

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	10/26/2020

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Directions to “WEST COAST PALLIATIVE CARE INC ” Practice Location

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