Provider Demographics
NPI:1437323565
Name:ALTA VERDUGO CONSULTING, INC
Entity Type:Organization
Organization Name:ALTA VERDUGO CONSULTING, INC
Other - Org Name:VERDUGO HOSPICE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIKORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-434-7436
Mailing Address - Street 1:8316 RED OAK ST STE 205
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3892
Mailing Address - Country:US
Mailing Address - Phone:818-434-7436
Mailing Address - Fax:
Practice Address - Street 1:8316 RED OAK ST STE 205
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3892
Practice Address - Country:US
Practice Address - Phone:818-434-7436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based