Healthcare Provider Details

I. General information

NPI: 1982177697
Provider Name (Legal Business Name): ORANGE COUNTY HOSPICE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MARKET ST STE 160
RIVERSIDE CA
92501-2123
US

IV. Provider business mailing address

369 S DOHENY DR STE 1238
BEVERLY HILLS CA
90211-3508
US

V. Phone/Fax

Practice location:
  • Phone: 888-745-9328
  • Fax: 800-650-3961
Mailing address:
  • Phone: 888-745-9328
  • Fax: 800-650-3961

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: GUR DEVAN WALIA
Title or Position: PRESIDENT
Credential:
Phone: 310-422-5484