Healthcare Provider Details

I. General information

NPI: 1043616055
Provider Name (Legal Business Name): HOBART HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 SANTA MONICA BLVD #214
LOS ANGELES CA
90029-1252
US

IV. Provider business mailing address

5250 SANTA MONICA BLVD #214
LOS ANGELES CA
90029-1252
US

V. Phone/Fax

Practice location:
  • Phone: 323-357-2046
  • Fax: 323-357-2048
Mailing address:
  • Phone: 323-357-2046
  • Fax: 323-357-2048

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: HAGOP PAPAZIAN
Title or Position: CEO
Credential:
Phone: 323-357-2046