Provider Demographics
NPI:1699354498
Name:LOYALTY PALLIATIVE CARE SERVICES, INC.
Entity Type:Organization
Organization Name:LOYALTY PALLIATIVE CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-233-1707
Mailing Address - Street 1:15388 GUNDRY AVE
Mailing Address - Street 2:APARTMENT 109
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15388 GUNDRY AVE
Practice Address - Street 2:#109
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-9072
Practice Address - Country:US
Practice Address - Phone:562-233-1707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based