Provider Demographics
NPI:1083295018
Name:CALIFORNIA DESERT HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:CALIFORNIA DESERT HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONI
Authorized Official - Middle Name:
Authorized Official - Last Name:EAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-825-4103
Mailing Address - Street 1:99 N SAN ANTONIO AVE STE 335D
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4575
Mailing Address - Country:US
Mailing Address - Phone:818-825-0847
Mailing Address - Fax:
Practice Address - Street 1:99 N SAN ANTONIO AVE STE 335D
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4575
Practice Address - Country:US
Practice Address - Phone:818-825-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based