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General NPI Number Information
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NPI Number | 1407463763
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Entity Type | Organization
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Legal Business Name | MAR HOSPICE CARE
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 5530 CORBIN AVE STE 205
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City | TARZANA
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State | CA
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Zip | 91356-7133
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Country | US
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Telephone | 818-600-8030
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Fax | 818-688-8079
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Provider Business Mailing Address
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Address Line | 5530 CORBIN AVE STE 205
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City | TARZANA
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State | CA
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Zip | 91356-7133
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Country | US
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Telephone | 818-600-8030
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Fax | 818-688-8079
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDER MIRUMYAN
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Credential |
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Telephone | 818-600-8030
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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 |
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License Number State |
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