Healthcare Provider Details

I. General information

NPI: 1376134981
Provider Name (Legal Business Name): OGADA HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S ATLANTIC BLVD STE D
MONTEREY PARK CA
91754-6300
US

IV. Provider business mailing address

1901 S ATLANTIC BLVD STE D
MONTEREY PARK CA
91754-6300
US

V. Phone/Fax

Practice location:
  • Phone: 323-488-0022
  • Fax: 323-693-7538
Mailing address:
  • Phone:
  • Fax:

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: AIDA OGANESYAN
Title or Position: OWNER
Credential:
Phone: 323-488-0022