Provider Demographics
NPI:1467825398
Name:KIND HEART HOSPICE
Entity Type:Organization
Organization Name:KIND HEART HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HICHANG
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-883-2945
Mailing Address - Street 1:4336 KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3564
Mailing Address - Country:US
Mailing Address - Phone:562-883-2945
Mailing Address - Fax:562-799-6001
Practice Address - Street 1:4336 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3564
Practice Address - Country:US
Practice Address - Phone:562-883-2945
Practice Address - Fax:562-799-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based