Provider Demographics
NPI:1043883606
Name:AL-SHIFA HOSPICE CARE
Entity Type:Organization
Organization Name:AL-SHIFA HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-687-1912
Mailing Address - Street 1:501 N BROOKHURST ST STE 300A
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5204
Mailing Address - Country:US
Mailing Address - Phone:714-687-1912
Mailing Address - Fax:855-624-9362
Practice Address - Street 1:501 N BROOKHURST ST STE 300A
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5204
Practice Address - Country:US
Practice Address - Phone:714-687-1912
Practice Address - Fax:855-624-9362
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AL-SHIFA HOME HEALTH CARE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based