MEDICARE: OC HOSPICE 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1801427026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OC HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	19626 VENTURA BLVD STE 225
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6038
Country	:	US
Telephone Number	:	747-215-2070
Fax Number	:

Provider Business Practice Location Address
First Line	:	19626 VENTURA BLVD STE 225
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6038
Country	:	US
Telephone Number	:	747-215-2070
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARINA KUSHNIROVICH
Credential	:
Telephone Number	:	747-215-2070

Provider Enumeration Date	:	01/27/2020
Last Update Date	:	04/08/2022

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Directions to “OC HOSPICE CARE, INC. ” Practice Location

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