Provider Demographics
NPI:1548500473
Name:HOSPICE GROUP OF SOUTHERN CALIFORNIA, INC.
Entity type:Organization
Organization Name:HOSPICE GROUP OF SOUTHERN CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DPCS/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:FRANCETTA
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-261-1128
Mailing Address - Street 1:7041 OWENSMOUTH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-4213
Mailing Address - Country:US
Mailing Address - Phone:818-337-2628
Mailing Address - Fax:818-337-2636
Practice Address - Street 1:7041 OWENSMOUTH AVE STE 202
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-4213
Practice Address - Country:US
Practice Address - Phone:818-337-2628
Practice Address - Fax:818-337-2636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based