ANGEL'S SMILE HOSPICE INC. NPI 1194003277

NPI Information

NPI: 1194003277
Provider Name: ANGEL'S SMILE HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2042347

Address:
2252 BEVERLY BLVD STE 210
LOS ANGELES, CA
ZIP 90057
Phone: (818) 505-9010
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ANGEL'S SMILE HOSPICE, INC. is a hospice care community based in Los Angeles, CA. ANGEL'S SMILE HOSPICE, INC. NPI is 1194003277. The provider is registered as an organization entity type.

The provider's business location address is:

2252 BEVERLY BLVD STE 210
LOS ANGELES, CA
ZIP 90057-225
Phone: (818) 505-9010
Fax: (818) 505-9038

The provider's authorized official is Anna Khandanyan .
The authorized official title is Ceo and has the following contact phone number (818) 505-9010.

The CLIA number assigned to this NPI record is 05D2042347 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2011 and was last updated on 3/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		550001947	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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