Provider Demographics
NPI:1164182176
Name:PASADENA HOSPICE CARE
Entity Type:Organization
Organization Name:PASADENA HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASTRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ORUDYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-383-4481
Mailing Address - Street 1:3827 E COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3935
Mailing Address - Country:US
Mailing Address - Phone:323-383-4481
Mailing Address - Fax:844-270-5889
Practice Address - Street 1:3827 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3935
Practice Address - Country:US
Practice Address - Phone:323-383-4481
Practice Address - Fax:844-270-5889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-19
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4656619Medicaid