Formal Hospice Inc
Organization Active NPI Community Based Hospice Care Agency · San Marino, CA
NPI 1700466836 · NPPES record last updated Apr 15, 2021
Key facts
- NPI
- 1700466836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- FORMAL HOSPICE INC
- Practice address
- 2060 Huntington Dr Ste 10
San Marino, CA 91108-2044 - Phone
- (626) 800-0131
- NPI assigned
- Apr 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Edgar Poghosyan
- Title
- Ceo
- Phone
- (626) 800-0131
National Provider Directory
Locations
2060 Huntington Dr
Ste 10
San Marino, CA 91108
Phone (626) 800-0131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
2060 Huntington Dr Ste 10
San Marino, CA 91108-2044
Mailing address
2060 Huntington Dr Ste 10
San Marino, CA 91108-2044
Other providers in San Marino, CA
- Fary Yassamy, DDS, Inc
- Fit Home Health Inc
- Alfonso Fonzie Flores
- Fluid Laboratories
- Formal Home Health Inc
- Freedom Physicians Corporation
- Mary Jane Freire
- Sheela Gade
- Sylvia Yvonne Garcia
- Noah Garrett
All providers in San Marino, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.