COASTAL HOSPICE OF SOCAL INC; NPI #1821636549

Contact Information

COASTAL HOSPICE OF SOCAL INC

12465 LEWIS ST STE 206
GARDEN GROVE, CA 92840

Phone: 714-705-4375
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for COASTAL HOSPICE OF SOCAL INC

NPI # 1821636549

LBN Legal business name COASTAL HOSPICE OF SOCAL INC

Authorized official JOHN SIMBULAN - (OWNER/ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/12/2019

Last updated 12/12/2019 - About 6 years ago

Identifiers

Medicaid

1417332057

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COASTAL HOSPICE OF SOCAL INC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for COASTAL HOSPICE OF SOCAL INC

Reviews for COASTAL HOSPICE OF SOCAL INC