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NPI Code Detail

MEDICARE: PACIFIC HOSPICE INC.

MEDICARE: PACIFIC HOSPICE 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
1251G00000XCommunity Based Hospice Care Agency080000790CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ69607ZOTHERCABLUE SHIELD

General Provider Information

NPI Number : 1407856487
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC HOSPICE INC.
Provider Business Mailing Address
First Line : 1998 N ARROWHEAD AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4116
Country : US
Telephone Number : 909-882-8466
Fax Number : 909-882-9203
Provider Business Practice Location Address
First Line : 1998 N ARROWHEAD AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4116
Country : US
Telephone Number : 909-882-8466
Fax Number : 909-882-9203
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SUNIL ARORA
Credential : MD
Telephone Number : 909-882-8466
Provider Enumeration Date : 07/29/2005
Last Update Date : 08/12/2022

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Directions to “PACIFIC HOSPICE INC. ” Practice Location

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