Healthcare Provider Details

I. General information

NPI: 1699350256
Provider Name (Legal Business Name): HYGIEIA HEALTH SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 CARSON ST STE M
LAKEWOOD CA
90715-2546
US

IV. Provider business mailing address

11401 CARSON ST STE M
LAKEWOOD CA
90715-2546
US

V. Phone/Fax

Practice location:
  • Phone: 562-865-4900
  • Fax: 562-865-4945
Mailing address:
  • Phone: 562-865-4900
  • Fax: 562-865-4945

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: DAVID MARCIANO ZALOPANY
Title or Position: CEO
Credential:
Phone: 562-760-4527