Healthcare Provider Details

I. General information

NPI: 1467457259
Provider Name (Legal Business Name): ASIAN PACIFIC HEALTH CARE VENTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 HILLHURST AVENUE
LOS ANGELES CA
90027-5516
US

IV. Provider business mailing address

1530 HILLHURST AVE
LOS ANGELES CA
90027-5516
US

V. Phone/Fax

Practice location:
  • Phone: 323-644-3880
  • Fax: 323-644-1634
Mailing address:
  • Phone: 323-644-3880
  • Fax: 323-644-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAZUE SHIBATA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 323-644-3880