Provider Demographics
NPI:1215218896
Name:WESTERN PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:WESTERN PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-804-1258
Mailing Address - Street 1:21860 BURBANK BLVD STE 180-B
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6477
Mailing Address - Country:US
Mailing Address - Phone:818-888-8451
Mailing Address - Fax:818-914-4298
Practice Address - Street 1:21860 BURBANK BLVD STE 180-B
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6477
Practice Address - Country:US
Practice Address - Phone:818-888-8451
Practice Address - Fax:818-914-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based