MEDICARE: SAINT CHRISTOPHER 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	:	1629351952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT CHRISTOPHER HOSPICE INC

Provider Business Mailing Address
First Line	:	1648 WILCOX AVE
Second Line	:	SUITE A
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6206
Country	:	US
Telephone Number	:	818-308-6724
Fax Number	:	818-308-6725

Provider Business Practice Location Address
First Line	:	1648 WILCOX AVE
Second Line	:	SUITE A
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6206
Country	:	US
Telephone Number	:	818-308-6724
Fax Number	:	818-308-6725

Authorized Official
Title or Position	:	CEO
Name	:	MR. GURGEN ISRAYELYAN
Credential	:
Telephone Number	:	818-308-6724

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	02/04/2015

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Directions to “SAINT CHRISTOPHER HOSPICE INC ” Practice Location

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