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General NPI Number Information
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NPI Number | 1194003277
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Entity Type | Organization
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Legal Business Name | ANGEL'S SMILE HOSPICE, INC.
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Dates
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Enumeration Date | 07/24/2011
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3755 BEVERLY BLVD STE 306
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City | LOS ANGELES
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State | CA
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Zip | 90004-3539
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Country | US
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Telephone | 818-505-9010
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Fax | 818-505-9038
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Provider Business Mailing Address
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Address Line | 3755 BEVERLY BLVD STE 306
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City | LOS ANGELES
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State | CA
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Zip | 90004-3539
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Country | US
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Telephone | 818-505-9010
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Fax | 818-505-9038
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Authorized Official
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Title or Position | CEO
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Name | ANNA KHANDANYAN
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Credential |
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Telephone | 818-505-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550001947
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License Number State | CA
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