MEDICARE: WEST COAST HOSPICE MANAGEMENT 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	:	1699084970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST HOSPICE MANAGEMENT INC.

Provider Business Mailing Address
First Line	:	13746 VICTORY BLVD
Second Line	:	SUITE 301
City	:	VAN NUYS
State	:	CA
Zip	:	91401-6716
Country	:	US
Telephone Number	:	818-781-1888
Fax Number	:	818-781-1881

Provider Business Practice Location Address
First Line	:	13746 VICTORY BLVD
Second Line	:	SUITE 301
City	:	VAN NUYS
State	:	CA
Zip	:	91401-6716
Country	:	US
Telephone Number	:	818-781-1888
Fax Number	:	818-781-1881

Authorized Official
Title or Position	:	CEO
Name	:	ANI GYULBEKYAN
Credential	:
Telephone Number	:	818-781-1888

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	03/14/2017

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Directions to “WEST COAST HOSPICE MANAGEMENT INC. ” Practice Location

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