Organization Active NPI

Golden Bridge Hospice Inc.

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1104417195
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN BRIDGE HOSPICE INC.
Practice address
3357 Cahuenga Blvd W Ste 60
Los Angeles, CA 90068-1327
Phone
(323) 879-7032
NPI assigned
Feb 1, 2021
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dmitriy Bykov
Title
Ceo
Phone
(323) 879-7032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3357 Cahuenga Blvd W Ste 60
Los Angeles, CA 90068-1327

Mailing address

3357 Cahuenga Blvd W Ste 60
Los Angeles, CA 90068-1327

National Provider Directory

National Provider Directory

Locations

3357 Cahuenga Blvd W
Ste 60
Los Angeles, CA 90068
Phone (323) 879-7032

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1104417195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 CAHUENGA BLVD W STE 60",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 CAHUENGA BLVD W STE 60",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681327",
            "telephone_number": "323-879-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BRIDGE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BYKOV",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-879-7032"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.