MEDICARE: HUMAN TOUCH PALLIATIVE AND HOSPICE 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		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1578685517	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1578685517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN TOUCH PALLIATIVE AND HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	3629 N SEPULVEDA BLVD
Second Line	:	SUITE 102
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-3632
Country	:	US
Telephone Number	:	424-247-8300
Fax Number	:	424-247-8887

Provider Business Practice Location Address
First Line	:	3629 N SEPULVEDA BLVD
Second Line	:	SUITE 102
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-3632
Country	:	US
Telephone Number	:	424-247-8300
Fax Number	:	424-247-8887

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AZIZA ABDI
Credential	:
Telephone Number	:	424-247-8300

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	01/05/2015

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