Provider Demographics
NPI:1760055172
Name:PHYSICIAN'S CHOICE HOSPICE CARE INC
Entity Type:Organization
Organization Name:PHYSICIAN'S CHOICE HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HIEP
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-265-1110
Mailing Address - Street 1:3645 RUFFIN RD STE 235
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1875
Mailing Address - Country:US
Mailing Address - Phone:855-265-1110
Mailing Address - Fax:855-265-1110
Practice Address - Street 1:3645 RUFFIN RD STE 235
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1875
Practice Address - Country:US
Practice Address - Phone:855-265-1110
Practice Address - Fax:855-265-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based