Healthcare Provider Details

I. General information

NPI: 1417191776
Provider Name (Legal Business Name): DOCTORS PALLIATIVE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10324 BALBOA BLVD SUITE 203
GRANADA HILLS CA
91344-7349
US

IV. Provider business mailing address

10324 BALBOA BLVD SUITE 203
GRANADA HILLS CA
91344-7349
US

V. Phone/Fax

Practice location:
  • Phone: 818-701-7835
  • Fax: 818-208-9485
Mailing address:
  • Phone: 818-701-7835
  • Fax: 818-208-9485

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: AUTI PRABHAKAR
Title or Position: CEO
Credential:
Phone: 760-283-7522