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General NPI Number Information
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NPI Number | 1649461229
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Entity Type | Organization
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Legal Business Name | OPTIMAL HOSPICE, INC.
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 3375 SCOTT BLVD SUITE 410
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City | SANTA CLARA
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State | CA
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Zip | 95054-3110
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Country | US
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Telephone | 408-207-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5445
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Country | US
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Telephone | 661-410-3000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP/CFO
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Name | GERRY NORMAN CHRISTENSEN
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Credential |
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Telephone | 801-433-0932
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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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