ST. LIZ HOSPICE INC. NPI 1467430199

NPI Information

NPI: 1467430199
Provider Name: ST. LIZ HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D0982891

Address:
1910 W SUNSET BLVD.
SUITE 420
LOS ANGELES, CA
ZIP 90026
Phone: (213) 365-6499
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ST. LIZ HOSPICE, INC. is a hospice care community based in Los Angeles, CA. ST. LIZ HOSPICE, INC. NPI is 1467430199. The provider is registered as an organization entity type.

The provider's business location address is:

1910 W SUNSET BLVD.
SUITE 420
LOS ANGELES, CA
ZIP 90026-281
Phone: (213) 365-6499
Fax: (888) 415-5250

The provider's authorized official is Ricardo Moreno Yao .
The authorized official title is Ceo and has the following contact phone number (213) 365-6499.

The CLIA number assigned to this NPI record is 05D0982891 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 1/5/2023.

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		980001331	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HPC01744F	OTHER	CALIFORNIA	MEDI-CAL PROVIDER #

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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