MEDICARE: VIVA HOSPICE SERVICES INCORPORATED

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	980001479	CA

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	:	1720035066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVA HOSPICE SERVICES INCORPORATED

Provider Business Mailing Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	SUITE 310
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-461-0600
Fax Number	:	562-461-0116

Provider Business Practice Location Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	SUITE 310
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-461-0600
Fax Number	:	562-461-0116

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ANTONIO OLIVERA
Credential	:	MHA
Telephone Number	:	562-461-0600

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	04/22/2008

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Directions to “VIVA HOSPICE SERVICES INCORPORATED ” Practice Location

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