Provider Demographics
NPI:1760262117
Name:ADMIRAL HOSPICE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ADMIRAL HOSPICE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANGARD MAHBOOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-652-8297
Mailing Address - Street 1:4010 WATSON PLAZA DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-4035
Mailing Address - Country:US
Mailing Address - Phone:562-429-1500
Mailing Address - Fax:562-429-1599
Practice Address - Street 1:4010 WATSON PLAZA DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-4035
Practice Address - Country:US
Practice Address - Phone:562-429-1500
Practice Address - Fax:562-429-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based