MEDICARE: ST. MARTIN 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578540233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. MARTIN HOSPICE INC

Provider Business Mailing Address
First Line	:	1925 W TEMPLE ST
Second Line	:	SUITE 210
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4972
Country	:	US
Telephone Number	:	213-413-4629
Fax Number	:	213-413-7971

Provider Business Practice Location Address
First Line	:	1925 W TEMPLE ST
Second Line	:	SUITE 210
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4972
Country	:	US
Telephone Number	:	213-413-4629
Fax Number	:	213-413-7971

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. SHIRLEY BALDOVINO SORIANO
Credential	:
Telephone Number	:	213-413-4629

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	06/30/2011

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Directions to “ST. MARTIN HOSPICE INC ” Practice Location

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