La Jolla Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LA JOLLA HOSPICE, INC.

Practice address

10251 Vista Sorrento Pkwy Ste 280C
San Diego, CA 92121-3774

Phone

(858) 947-4347

Fax

(858) 947-4358

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Corinne Mohammed

Title

Ceo

Phone

(858) 947-4347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1144821463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 VISTA SORRENTO PKWY STE 280C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213774",
            "telephone_number": "858-947-4347",
            "fax_number": "858-947-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 VISTA SORRENTO PKWY STE 280C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213774",
            "telephone_number": "858-947-4347",
            "fax_number": "858-947-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-947-4347"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, 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 Nov 3, 2020; 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.