San Pedro Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAN PEDRO HOSPICE INC.

Practice address

605 S Pacific Ave Ste 200
San Pedro, CA 90731-2664

Phone

(818) 731-6083

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Mary Kodjoglian

Title

President

Phone

(818) 731-6083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1386983112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S PACIFIC AVE STE 200",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312664",
            "telephone_number": "818-731-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S PACIFIC AVE STE 200",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312664",
            "telephone_number": "818-731-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "KODJOGLIAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-731-6083"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Pedro Acupuncture Corporation
• San Pedro Convalescent Home, Inc.
• San Pedro Dental
• San Pedro Eye Medical Group, Inc a Professional Medical Corporation
• San Pedro Healing Arts Medical Clinic Inc
• San Pedro Hospitalist Medical Group Inc
• San Pedro Medical Clinic
• San Pedro OB-GYN Medical Corporation
• San Pedro Pain and Disc Institute Inc
• San Pedro Pediatrics Med GRP Inc

• Community Based Hospice Care Agency in San Pedro, CA
• Providers in San Pedro, 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 21, 2013; 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.