MEDICARE: LATOPCARE HOSPICE

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	:	1720600430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATOPCARE HOSPICE

Provider Business Mailing Address
First Line	:	10999 RIVERSIDE DR STE 306B
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2239
Country	:	US
Telephone Number	:	818-821-3107
Fax Number	:	184-175-0678

Provider Business Practice Location Address
First Line	:	10999 RIVERSIDE DR STE 306B
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2239
Country	:	US
Telephone Number	:	818-821-3107
Fax Number	:	184-175-0678

Authorized Official
Title or Position	:	CEO
Name	:	ALLA HOVHANNISYAN
Credential	:
Telephone Number	:	818-821-3107

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	01/20/2022

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Directions to “LATOPCARE HOSPICE ” Practice Location

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