NPI 1003662966
Mobile Home Health Palliative & Hospice Medical Group
Practice location
- Address
- 1425 W Manchester Ave STE a, Los Angeles, CA 90047-5436
- Phone
- (310) 212-1500
- Mailing address
- 1270 S Alfred St Unit 1064, Los Angeles, CA 90035-2506
Authorised official
- Name
- Daniel S. Davidson
- Title
- Administrator
- Phone
- (310) 212-1500
Registered specialties (11)
Internal Medicine Physician
Primary
Home Health Agency
Home Infusion Agency
Community Based Hospice Care Agency
Nursing Care Agency
Public Health or Welfare Agency
Community/Behavioral Health Agency
In Home Supportive Care Agency
Non-Pharmacy Dispensing Site
Home Delivered Meals
Medical Foods Supplier
Registry record
- NPI
- 1003662966
- Entity type
- Organization
- NPI issued
- 30 Apr 2024
- Record last updated
- 30 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.