Mogul Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOGUL CORPORATION

Practice address

1126 W Foothill Blvd
Suite #235
Upland, CA 91786-3768

Phone

(909) 981-4065

Fax

(909) 949-8460

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Annie Pinuela Barron

Title

Ceo/Administrator

Phone

(909) 981-4065

Specialties & licenses 1

Addresses

Other names 1

• Shangrila Hospice Doing business as

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1104854298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 W. FOOTHILL BLVD.",
            "address_2": "SUITE #220",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863777",
            "telephone_number": "909-981-4065",
            "fax_number": "909-949-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W FOOTHILL BLVD",
            "address_2": "SUITE #235",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863768",
            "telephone_number": "909-981-4065",
            "fax_number": "909-949-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGUL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "PINUELA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-981-4065",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shangrila Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sadia Fatima Moinuddin, MD
• Darrol Monfils, CADCII, ICADC
• Evelyn Monge Perez, LMFT
• Lindsay Monroe, NP

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.