Healthcare Provider Details

I. General information

NPI: 1104438068
Provider Name (Legal Business Name): CIPHER HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 S VICTORY BLVD STE 104
BURBANK CA
91502-2353
US

IV. Provider business mailing address

427 S VICTORY BLVD STE 104
BURBANK CA
91502-2353
US

V. Phone/Fax

Practice location:
  • Phone: 747-272-5835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LUSINE ALEKSANYAN
Title or Position: OWNER
Credential:
Phone: 747-272-5835