Healthcare Provider Details

I. General information

NPI: 1912332297
Provider Name (Legal Business Name): EOS HOSPICE AND PALLIATIVE CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 S BARRANCA AVE
COVINA CA
91723-3601
US

IV. Provider business mailing address

646 S BARRANCA AVE
COVINA CA
91723-3601
US

V. Phone/Fax

Practice location:
  • Phone: 909-766-8281
  • Fax: 909-593-1088
Mailing address:
  • Phone: 909-766-8281
  • Fax: 909-593-1088

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: ZHIJUN MO
Title or Position: RN/CEO
Credential:
Phone: 909-766-8281