Provider Demographics
NPI:1205180247
Name:HOSPICE OF THE WEST, INC.
Entity Type:Organization
Organization Name:HOSPICE OF THE WEST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:QUANG
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-030-0300
Mailing Address - Street 1:7461 GARDEN GROVE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-4227
Mailing Address - Country:US
Mailing Address - Phone:714-030-0300
Mailing Address - Fax:
Practice Address - Street 1:7461 GARDEN GROVE BLVD STE B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-4227
Practice Address - Country:US
Practice Address - Phone:714-030-0300
Practice Address - Fax:714-908-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based