Provider Demographics
NPI:1164059994
Name:MEGAL HOSPICE & PALLIATIVE CARE, INC
Entity Type:Organization
Organization Name:MEGAL HOSPICE & PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIGRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AIVAZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-538-4491
Mailing Address - Street 1:1110 N BRAND BLVD STE 301A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2567
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1110 N BRAND BLVD STE 301A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2567
Practice Address - Country:US
Practice Address - Phone:818-538-4491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based