Mobile Home Health Palliative & Hospice Medical Group
Internal Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1003662966
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1003662966
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Home Health Palliative & Hospice Medical Group
- Organization subpart
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251F00000X | Home Infusion | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 332900000X | Non-Pharmacy Dispensing Site | – | – | |
| 332U00000X | Home Delivered Meals | – | – | |
| 335G00000X | Medical Foods Supplier | – | – |
Practice location
1425 W Manchester Ave Ste ALos Angeles, CA 90047-5436
Phone 310-212-1500
Mailing address
1270 S Alfred St Unit 1064Los Angeles, CA 90035-2506
Phone 310-212-1500
Authorized official
Daniel S. Davidson
Administrator
3102121500
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