Healthcare Provider Details

I. General information

NPI: 1659973329
Provider Name (Legal Business Name): VML HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14349 VICTORY BLVD STE 201-B
VAN NUYS CA
91401-1950
US

IV. Provider business mailing address

14349 VICTORY BLVD STE 201-B
VAN NUYS CA
91401-1950
US

V. Phone/Fax

Practice location:
  • Phone: 747-300-7389
  • Fax:
Mailing address:
  • Phone: 747-300-7389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MR. MANVEL BARSEGYAN
Title or Position: CEO
Credential:
Phone: 747-300-7389