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General NPI Number Information
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NPI Number | 1538598131
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Entity Type | Organization
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Legal Business Name | LOS ROBLES HOSPICE
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 509 MARIN ST STE 233
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4231
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Country | US
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Telephone | 949-252-2640
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Fax | 949-252-0038
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Provider Business Mailing Address
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Address Line | 1881 W TRAVERSE PARKWAY SUITE E#112
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City | LEHI
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State | UT
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Zip | 84048-6029
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO & MANAGING DIRECTOR
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Name | STEVEN BURNINGHAM
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Credential |
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Telephone | 415-845-3213
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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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