Organization Active NPI

King Palace Service Inc.

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1619551389
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KING PALACE SERVICE INC.
Practice address
2301 W Lincoln Ave Ste 124D
Anaheim, CA 92801-5135
Phone
(714) 209-4243
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Zena Abd Al Munam Al Khazaali
Title
Ceo
Phone
(714) 209-4243

Specialties & licenses 1

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

Addresses

Primary practice location

2301 W Lincoln Ave Ste 124D
Anaheim, CA 92801-5135

Mailing address

2301 W Lincoln Ave Ste 124D
Anaheim, CA 92801-5135
Phone (714) 209-4243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1619551389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W LINCOLN AVE STE 124D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015135",
            "telephone_number": "714-209-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W LINCOLN AVE STE 124D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015135",
            "telephone_number": "714-209-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PALACE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "AL KHAZAALI",
        "authorized_official_first_name": "ZENA",
        "authorized_official_middle_name": "ABD AL MUNAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-209-4243"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.