PETRA HEALTHCARE INC NPI 1376113100

NPI Information

NPI: 1376113100
Provider Name: PETRA HEALTHCARE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6910 OSLO CIR STE 204
BUENA PARK, CA
ZIP 90621
Phone: (714) 770-0152
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PETRA HEALTHCARE INC is a hospice care community based in Buena Park, CA. PETRA HEALTHCARE INC NPI is 1376113100. The provider is registered as an organization entity type.

The provider's business location address is:

6910 OSLO CIR STE 204
BUENA PARK, CA
ZIP 90621-348
Phone: (714) 770-0152

The provider's authorized official is Marck Anton S Tamayo .
The authorized official title is Compliance Officer and has the following contact phone number (714) 829-8903.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 6/29/2021.

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				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: 11/14/2023

NPI Synchronization or Removal

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