Provider Demographics
NPI:1134671118
Name:OCEAN VIEW HOSPICE INC
Entity Type:Organization
Organization Name:OCEAN VIEW HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITA JOY
Authorized Official - Middle Name:P
Authorized Official - Last Name:DE GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-603-7303
Mailing Address - Street 1:12362 BEACH BLVD STE 22
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3961
Mailing Address - Country:US
Mailing Address - Phone:714-603-7303
Mailing Address - Fax:714-333-4542
Practice Address - Street 1:12362 BEACH BLVD STE 22
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3961
Practice Address - Country:US
Practice Address - Phone:714-603-7303
Practice Address - Fax:714-333-4542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7181841Medicaid