Provider Demographics
NPI:1073192712
Name:SPECTRA HOSPICE CARE INC
Entity Type:Organization
Organization Name:SPECTRA HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORK
Authorized Official - Middle Name:
Authorized Official - Last Name:TERMENDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-473-0063
Mailing Address - Street 1:4426 E WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90023-4411
Mailing Address - Country:US
Mailing Address - Phone:818-473-0063
Mailing Address - Fax:818-936-0163
Practice Address - Street 1:4426 E WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90023-4411
Practice Address - Country:US
Practice Address - Phone:818-473-0063
Practice Address - Fax:818-936-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based