MEDICARE: PHYSICIANS PREFERRED HOSPICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1376970707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS PREFERRED HOSPICE INC

Provider Business Mailing Address
First Line	:	6047 TAMPA AVE
Second Line	:	STE 301
City	:	TARZANA
State	:	CA
Zip	:	91356-1158
Country	:	US
Telephone Number	:	888-407-6706
Fax Number	:	818-301-0262

Provider Business Practice Location Address
First Line	:	6047 TAMPA AVE
Second Line	:	STE 301
City	:	TARZANA
State	:	CA
Zip	:	91356-1158
Country	:	US
Telephone Number	:	888-407-6706
Fax Number	:	818-301-0262

Authorized Official
Title or Position	:	CEO
Name	:	MRS. INGA ARTEMCHUK
Credential	:
Telephone Number	:	888-407-6706

Provider Enumeration Date	:	09/30/2013
Last Update Date	:	08/20/2024

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