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NPI Code Detail

MEDICARE: VIENNA HOSPICE AND PALLIATIVE CARE, INC.

MEDICARE: VIENNA HOSPICE AND PALLIATIVE CARE, 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1760874747
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIENNA HOSPICE AND PALLIATIVE CARE, INC.
Provider Business Mailing Address
First Line : 2110 N GLENOAKS BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91504-2827
Country : US
Telephone Number : 818-405-0085
Fax Number :
Provider Business Practice Location Address
First Line : 2110 N GLENOAKS BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91504-2827
Country : US
Telephone Number : 818-405-0085
Fax Number :
Authorized Official
Title or Position : CEO/ OWNER
Name : TAGUHI POGHOSYAN
Credential :
Telephone Number : 818-405-0085
Provider Enumeration Date : 02/26/2015
Last Update Date : 02/26/2015

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Directions to “VIENNA HOSPICE AND PALLIATIVE CARE, INC. ” Practice Location

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