Provider Demographics
NPI:1356329122
Name:HOPE INTERNATIONAL HOSPICE INC
Entity Type:Organization
Organization Name:HOPE INTERNATIONAL HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YUTAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-782-7070
Mailing Address - Street 1:20705 S WESTERN AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1835
Mailing Address - Country:US
Mailing Address - Phone:310-782-7070
Mailing Address - Fax:310-782-7245
Practice Address - Street 1:20705 S WESTERN AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1835
Practice Address - Country:US
Practice Address - Phone:310-782-7070
Practice Address - Fax:310-782-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01774GMedicaid
CA051774Medicare ID - Type Unspecified