MEDICARE: ROYAL SYMPHONY CARE SERVICES, 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	:	1780337501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL SYMPHONY CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3068 E VIA ROSSO
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91764-7405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5847 SAN FELIPE ST STE 1765
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3000
Country	:	US
Telephone Number	:	760-885-5960
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PHILIP PABLO
Credential	:
Telephone Number	:	760-885-5960

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	02/01/2022

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