Healthcare Provider Details

I. General information

NPI: 1821619131
Provider Name (Legal Business Name): URGENT HELP HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 N IRWINDALE AVE STE 208
IRWINDALE CA
91702-2801
US

IV. Provider business mailing address

6520 N IRWINDALE AVE STE 208
IRWINDALE CA
91702-2801
US

V. Phone/Fax

Practice location:
  • Phone: 323-300-4707
  • Fax: 213-318-0858
Mailing address:
  • Phone: 323-300-4707
  • Fax: 213-318-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DOUG CANNON
Title or Position: CFO
Credential:
Phone: 323-300-4707