Healthcare Provider Details

I. General information

NPI: 1336735596
Provider Name (Legal Business Name): ORANGE COAST HOSPICE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 ANTON BLVD STE 150 UNIT 351
COSTA MESA CA
92626-7036
US

IV. Provider business mailing address

555 ANTON BLVD STE 150 UNIT 351
COSTA MESA CA
92626-7036
US

V. Phone/Fax

Practice location:
  • Phone: 714-369-6137
  • Fax:
Mailing address:
  • Phone: 714-369-6137
  • 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: KRISTINE TER-MIRZOYAN
Title or Position: CEO
Credential:
Phone: 714-369-6137