Healthcare Provider Details

I. General information

NPI: 1639363567
Provider Name (Legal Business Name): ZIBA HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 PARAMOUNT BLVD STE 101
LAKEWOOD CA
90712-4143
US

IV. Provider business mailing address

3950 PARAMOUNT BLVD STE 101
LAKEWOOD CA
90712-4143
US

V. Phone/Fax

Practice location:
  • Phone: 310-328-4865
  • Fax: 310-328-4309
Mailing address:
  • Phone: 310-328-4865
  • Fax: 310-328-4309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number550000417
License Number StateCA

VIII. Authorized Official

Name: CHERYLL G CALAYAG
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 310-328-4865