MEDICARE: ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES

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	251E00000X	Home Health Agency		CA

General Provider Information

NPI Number	:	1972864981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES

Provider Business Mailing Address
First Line	:	5050 PALO VERDE ST STE 119
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-2333
Country	:	US
Telephone Number	:	909-626-2859
Fax Number	:

Provider Business Practice Location Address
First Line	:	5050 PALO VERDE ST STE 119
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-2333
Country	:	US
Telephone Number	:	909-626-2859
Fax Number	:	909-626-2572

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALLAN ESTUDILLO
Credential	:
Telephone Number	:	909-626-2859

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	04/21/2016

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